Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RN0300X | Nephrologist | 245546 | NY |
NPI | 1053574749 |
---|---|
Provider Name | Dr. Minji Li |
First Address | New York, NY 10038-2612 |
Second Address | New York, NY 10038-2612 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/07/2008 |
Last Update Date | 15/10/2013 |