Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 238182 | MA |
N | 111NI0900X | Internist | 238182 | MA |
Y | 207RG0100X | Gastroenterologist | 238182 | MA |
NPI | 1043347404 |
---|---|
Provider Name | Wai-Kit Lo |
First Address | Boston, MA 02115-6105 |
Second Address | Boston, MA 02115-6105 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/02/2007 |
Last Update Date | 20/03/2012 |