Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NR0200X | Radiology | SC002292L | PA |
Y | 213ER0200X | Radiology | SC002292L | PA |
NPI | 1174743454 |
---|---|
Provider Name | Dr. Robert A. Christman |
First Address | Pomona, CA 91766-1854 |
Second Address | Pomona, CA 91766-1854 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/04/2007 |
Last Update Date | 02/04/2009 |