Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207T00000X | Neurosurgeon | 270840 | MA |
NPI | 1104050707 |
---|---|
Provider Name | Hasan Aqdas Zaidi |
First Address | Brookline, MA 02445-6007 |
Second Address | Boston, MA 02115 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/05/2009 |
Last Update Date | 16/05/2018 |