Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0208X | Pediatric Infectious Diseases | MT207451 | PA |
NPI | 1073808036 |
---|---|
Provider Name | Masaki Yamada |
First Address | Pittsburgh, PA 15215-1621 |
Second Address | Pittsburgh, PA 15224-1334 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/06/2011 |
Last Update Date | 17/07/2015 |