Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0003X | Hematology & Oncology | 0S3516 | FL |
NPI | 1063818235 |
---|---|
Provider Name | Barry M. Krein |
First Address | Melbourne, FL 32934-7679 |
Second Address | Melbourne, FL 32934-7679 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/11/2014 |
Last Update Date | 21/11/2014 |