Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2080P0205X | Pediatric Endocrinologist | ME98557 | FL |
NPI | 1245281278 |
---|---|
Provider Name | Yu Miles Yu |
First Address | Rockland, DE 19732-0191 |
Second Address | Orlando, FL 32806-2946 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/05/2006 |
Last Update Date | 22/10/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
205289507 | (05) | MO |
278499800 | (05) | FL |
H36091 | (02) | FL |
H36091 | (02) | MO |