Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0300X | Periodontist | 8660 | NC |
NPI | 1073737243 |
---|---|
Provider Name | Zhao J Yu |
First Address | Cary, NC 27519-7190 |
Second Address | Cary, NC 27519-7190 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/04/2007 |
Last Update Date | 29/10/2009 |