Individual
DR. TAIYO NISHIMOTO
Active
Individual
DR. TAIYO NISHIMOTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
17374
NH
207R00000X
Internal Medicine Physician
T-0819
NH
Other
Enumeration date
06/15/2012
Last updated
12/28/2015
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