Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 34.011755 | OH |
N | 111NI0900X | Internist | 34.011755 | OH |
N | 207R00000X | Internist | H79462 | MD |
N | 111NI0900X | Internist | H79462 | MD |
Y | 207RA0201X | Internist - Allergy & Immunology | DO3128 | ME |
NPI | 1417299892 |
---|---|
Provider Name | Dr. Rung-Chi Li |
First Address | Brewer, ME 04412-1006 |
Second Address | Bangor, ME 04401-3090 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/03/2013 |
Last Update Date | 24/02/2021 |