Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RX0202X | Medical Oncology | 124845 | NY |
NPI | 1124014899 |
---|---|
Provider Name | Robert H Goslin |
First Address | Amsterdam, NY 12010-4620 |
Second Address | Amsterdam, NY 12010-4620 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/09/2005 |
Last Update Date | 19/03/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
B97202 | (02) |