Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RX0202X | Medical Oncology | G20697 | CA |
NPI | 1003057654 |
---|---|
Provider Name | Dr. Robert Peter Gale |
First Address | Los Angeles, CA 90049-5105 |
Second Address | Los Angeles, CA 90049-5105 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/03/2009 |
Last Update Date | 11/03/2009 |