Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | MD067799L | PA |
NPI | 1013974237 |
---|---|
Provider Name | Somkiat Hemtasilpa |
First Address | Wyomissing, PA 19610-3335 |
Second Address | Wyomissing, PA 19610-1065 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/05/2006 |
Last Update Date | 26/03/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
101490670 | (05) | PA |