Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 204F00000X | Transplant Surgeon | MD439837 | PA |
Y | 208200000X | Surgeon | PA439837 | PA |
Y | 208600000X | Surgeon | PA439837 | PA |
NPI | 1326286477 |
---|---|
Provider Name | Peter Steven Yoo |
First Address | New Haven, CT 06510-3218 |
Second Address | New Haven, CT 06510-3218 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/01/2009 |
Last Update Date | 18/05/2012 |