Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0400X | Neurologist | 286714 | MA |
NPI | 1033632716 |
---|---|
Provider Name | Sergio Andres Ramirez Salazar |
First Address | Cambridge, MA 02138-1443 |
Second Address | Boston, MA 02115-6110 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/07/2017 |
Last Update Date | 02/07/2021 |