Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0001X | Clinical Cardiac Electrophysiologist | LP00961 | RI |
NPI | 1285851543 |
---|---|
Provider Name | Joe Yammine |
First Address | Pawtucket, RI 02860-4400 |
Second Address | Pawtucket, RI 02860-4400 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/04/2007 |
Last Update Date | 21/08/2008 |