Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2080P0207X | Pediatric Hematology-Oncologist | D72122 | MD |
Y | 2080P0207X | Pediatric Hematology-Oncologist | DR.0059205 | CO |
NPI | 1043483381 |
---|---|
Provider Name | Dr. Masanori Hayashi |
First Address | Aurora, CO 80042-0429 |
Second Address | Aurora, CO 80045-7106 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/04/2008 |
Last Update Date | 20/12/2019 |