Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 204F00000X | Transplant Surgeon | 19670 | OK |
NPI | 1811906019 |
---|---|
Provider Name | Dr. Shi-Feng Li |
First Address | Oklahoma City, OK 73104-5008 |
Second Address | Oklahoma City, OK 73104-5099 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/08/2006 |
Last Update Date | 05/10/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
200073600A | (05) | OK |
I43539 | (02) |