Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2086S0102X | Surgical Critical Care | 232766 | MA |
Y | 2086S0127X | Trauma Surgeon | 232766 | MA |
NPI | 1063536944 |
---|---|
Provider Name | Dr. Reza Askari |
First Address | Boston, MA 02115-6110 |
Second Address | Boston, MA 02115-6110 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/03/2007 |
Last Update Date | 18/09/2012 |