Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RX0202X | Medical Oncology | 287928 | MA |
NPI | 1043621477 |
---|---|
Provider Name | Dr. Maximilian Stahl |
First Address | Boston, MA 02215-5450 |
Second Address | Boston, MA 02215-5450 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/05/2014 |
Last Update Date | 12/10/2021 |