Individual
LARRY K SIU
Active
Individual
LARRY K SIU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
LP01440
RI
207RG0100X
Gastroenterology Physician
Primary
25MA09639900
NJ
Other
Enumeration date
06/25/2008
Last updated
10/12/2015
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