Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RX0202X | Medical Oncology | MD12883 | DC |
NPI | 1063947133 |
---|---|
Provider Name | Dr. Robert M. White JR. |
First Address | Silver Spring, MD 20902-1876 |
Second Address | Silver Spring, MD 20902-1876 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 26/04/2017 |
Last Update Date | 26/04/2017 |