Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223E0200X | Endodontist | 0401413532 | VA |
N | 1223E0200X | Endodontist | 58086 | CA |
N | 1223E0200X | Endodontist | DS036994 | PA |
NPI | 1093947558 |
---|---|
Provider Name | Yu Kai Hsu |
First Address | Fairfax, VA 22030 |
Second Address | Fairfax, VA 22030 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/08/2009 |
Last Update Date | 06/01/2013 |