Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207SG0201X | Clinical Genetics (M.D.) | C10007749 | DE |
NPI | 1255422531 |
---|---|
Provider Name | Dr. Michael B. Bober |
First Address | Rockland, DE 19732-0191 |
Second Address | Wilmington, DE 19803-3607 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/09/2006 |
Last Update Date | 03/09/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0085618 | (05) | NJ |
02908721 | (05) | NY |
101488546 | (05) | PA |
145463000 | (05) | MN |
4089031 | (05) | MD |
91013900 | (05) | FL |
H91926 | (02) | |
MB68847 | (05) | RI |