Individual
WAI-KIT LO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
45 FRANCIS ST, BRIGHAM AND WOMEN'S HOSPITAL, BOSTON, MA 02115-6105
(617) 732-6389
Mailing address
45 FRANCIS ST, BRIGHAM AND WOMEN'S HOSPITAL, BOSTON, MA 02115-6105
(617) 732-6389
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
238182
MA
207RG0100X
Gastroenterology Physician
Primary
238182
MA
Other
Enumeration date
02/27/2007
Last updated
05/25/2023
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