Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RG0300X | Geriatric Medicine | 232995 | MA |
NPI | 1114117256 |
---|---|
Provider Name | Ghania Y El Akiki |
First Address | Needham, MA 02492-2505 |
Second Address | Needham, MA 02492-2505 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/07/2007 |
Last Update Date | 29/05/2009 |