Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YX0905X | Otolaryngology/Facial Plastic Surgery | 288315 | MA |
NPI | 1194399139 |
---|---|
Provider Name | Ayham Alkarmi |
First Address | Brighton, MA 02135-2907 |
Second Address | Brighton, MA 02135-2907 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/05/2021 |
Last Update Date | 14/05/2021 |