Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0003X | Hematology & Oncology | G56531 | CA |
NPI | 1073034765 |
---|---|
Provider Name | Robert Lawrence Cohen |
First Address | San Mateo, CA 94402-3222 |
Second Address | San Mateo, CA 94402-3222 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/07/2017 |
Last Update Date | 03/07/2017 |