Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207P00000X | Emergency Physician | A86955 | CA |
Y | 2080P0207X | Pediatric Hematology-Oncologist | 238951 | MA |
N | 2080P0207X | Pediatric Hematology-Oncologist | A86955 | CA |
NPI | 1235391996 |
---|---|
Provider Name | Nathan J Robison |
First Address | Los Angeles, CA 90010-2804 |
Second Address | Los Angeles, CA 90027-6062 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/06/2008 |
Last Update Date | 29/03/2017 |