Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VE0102X | Reproductive Endocrinologist | 0101244192 | VA |
N | 207VE0102X | Reproductive Endocrinologist | MD432809 | PA |
NPI | 1023277498 |
---|---|
Provider Name | Dr. Christian Manuel Perez |
First Address | Chesapeake, VA 23320-4985 |
Second Address | Chesapeake, VA 23320-4985 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/06/2008 |
Last Update Date | 15/02/2017 |