Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0207X | Pediatric Hematology-Oncologist | 235528 | MA |
NPI | 1245406404 |
---|---|
Provider Name | Birgit Knoechel |
First Address | Boston, MA 02115-6013 |
Second Address | Boston, MA 02115-6013 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/05/2008 |
Last Update Date | 28/01/2010 |