Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | MD448745 | PA |
N | 111NI0900X | Internist | MD448745 | PA |
N | 207RH0000X | Hematologist | MD448745 | PA |
Y | 207RX0202X | Medical Oncology | MD448745 | PA |
NPI | 1346561230 |
---|---|
Provider Name | Dr. Patrick Johnston Mille |
First Address | Philadelphia, PA 19107-4246 |
Second Address | Philadelphia, PA 19107-4216 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/06/2010 |
Last Update Date | 17/03/2018 |