Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207P00000X | Emergency Physician | 303750 | NY |
NPI | 1003279829 |
---|---|
Provider Name | Nai Li |
First Address | Bronx, NY 10457-2545 |
Second Address | Bronx, NY 10457-2545 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/03/2016 |
Last Update Date | 22/06/2020 |