Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0207X | Pediatric Hematology-Oncologist | MD454293 | PA |
NPI | 1174814560 |
---|---|
Provider Name | Dr. Hiroto Kiguchi |
First Address | Philadelphia, PA 19104-4395 |
Second Address | Wilmington, DE 19803-3607 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/04/2011 |
Last Update Date | 05/05/2020 |