Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | 308826 | NY |
Y | 207VE0102X | Reproductive Endocrinologist | 308826 | NY |
NPI | 1104244888 |
---|---|
Provider Name | Maximilian Joseph Klein |
First Address | Rochester, NY 14617-5504 |
Second Address | Rochester, NY 14626-4135 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/03/2014 |
Last Update Date | 30/09/2021 |