Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | 57.245886 | OH |
Y | 111NI0900X | Internist | 57.245886 | OH |
NPI | 1003308354 |
---|---|
Provider Name | Kaiyin Liu |
First Address | Cleveland, OH 44195-0001 |
Second Address | Cleveland, OH 44195-0001 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/06/2018 |
Last Update Date | 26/04/2021 |