Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0200X | Critical Care Medicine | 213541 | MA |
Y | 207RP1001X | Pulmonary Disease | 213541 | MA |
N | 207RS0012X | Sleep Medicine | 213541 | MA |
NPI | 1003916065 |
---|---|
Provider Name | Sean A Gilman |
First Address | Boston, MA 02215-5400 |
Second Address | Boston, MA 02215 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/09/2006 |
Last Update Date | 15/04/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0185612 | (05) | MA |
H70830 | (02) | MA |