Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | A91127 | CA |
N | 207VE0102X | Reproductive Endocrinologist | 245878 | NY |
Y | 207VE0102X | Reproductive Endocrinologist | A91127 | CA |
NPI | 1134255052 |
---|---|
Provider Name | Peter Klatsky |
First Address | San Francisco, CA 94109-0456 |
Second Address | San Francisco, CA 94109-5455 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 26/02/2007 |
Last Update Date | 04/11/2019 |