# JIMMY LIU

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1114186970
- **Gender:** Man
- **Credential:** P.A.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | C0003671 | MD | Yes |
| 363AS0400X | Surgical Physician Assistant | C0003671 | MD | — |

## Other

- **Enumeration date:** 06/06/2008
- **Last updated:** 06/06/2008