Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0200X | Critical Care Medicine | 234323 | MA |
N | 2086S0102X | Surgical Critical Care | 234323 | MA |
NPI | 1336145556 |
---|---|
Provider Name | James R Ligas |
First Address | Springfield, MA 01199-1619 |
Second Address | Springfield, MA 01199-1001 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/06/2005 |
Last Update Date | 07/10/2015 |