Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VE0102X | Reproductive Endocrinologist | G18385 | CA |
NPI | 1528109311 |
---|---|
Provider Name | Dr. Arnold Jacobson |
First Address | Alamo, CA 94507-2771 |
Second Address | Alamo, CA 94507-2771 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 12/02/2007 |
Last Update Date | 08/07/2007 |