Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0207X | Pediatric Hematology-Oncologist | G31171 | CA |
NPI | 1184702722 |
---|---|
Provider Name | Daniel P. Kronish |
First Address | Boston, MA 02114-4405 |
Second Address | Boston, MA 02114-4405 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/11/2006 |
Last Update Date | 29/01/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00G311710 | (05) | CA |
F12877 | (02) |