Individual
DR. TIMOTHY KIYOSHI ITO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
A139817
CA
208800000X
Urology Physician
MD448549
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/30/2008
Last updated
10/06/2023
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