Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0000X | Internist - Cardiovascular Disease | 10832 | GA |
NPI | 1013571033 |
---|---|
Provider Name | Norihiko Kamioka |
First Address | Atlanta, GA 30322-1059 |
Second Address | Atlanta, GA 30322-1059 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/04/2019 |
Last Update Date | 24/04/2019 |