Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RX0202X | Medical Oncology | 036135844 | IL |
Y | 207RX0202X | Medical Oncology | D72460 | MD |
NPI | 1134381692 |
---|---|
Provider Name | Dr. Cesar Augusto Santa-Maria |
First Address | Baltimore, MD 21236-4902 |
Second Address | Baltimore, MD 21287-0013 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/06/2008 |
Last Update Date | 02/11/2017 |