Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0003X | Hematology & Oncology | G75542 | CA |
NPI | 1033155874 |
---|---|
Provider Name | Dr. Robert Michael Williams |
First Address | Beverly Hills, CA 90212-3851 |
Second Address | Beverly Hills, CA 90212-3851 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 21/06/2006 |
Last Update Date | 16/08/2011 |