Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | 232784 | MA |
N | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | 071350 | GA |
Y | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | ME138763 | FL |
NPI | 1114125051 |
---|---|
Provider Name | Nathan Shiao-Yung Kow |
First Address | Orlando, FL 32804-4641 |
Second Address | Orlando, FL 32804 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/07/2007 |
Last Update Date | 10/07/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
003146650A | (05) | GA |