Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207U00000X | Nuclear Medicine Specialist | 238034 | MA |
N | 208D00000X | General Practice Physician | 238034 | MA |
NPI | 1619980752 |
---|---|
Provider Name | Dr. Ajamu I Akamefula |
First Address | Brookline, MA 02445-5349 |
Second Address | Brookline, MA 02445-5349 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/08/2006 |
Last Update Date | 20/08/2021 |