Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207L00000X | Anesthesiologist | 125063983 | IL |
N | 207NS0135X | Procedural Dermatology | MD045982 | DC |
Y | 208D00000X | General Practice Physician | MD045982 | DC |
NPI | 1003103698 |
---|---|
Provider Name | Robert Minh Cao JR. |
First Address | Arlington, VA 22209-1344 |
Second Address | Arlington, VA 22209-1344 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/07/2011 |
Last Update Date | 07/12/2018 |