Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0203X | Pediatric Critical Care Doctor | 224465 | MA |
NPI | 1174591416 |
---|---|
Provider Name | Dr. Karl Li-Feng Yen |
First Address | Allston, MA 02134-2038 |
Second Address | Boston, MA 02115-5724 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/03/2006 |
Last Update Date | 08/07/2007 |