Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VE0102X | Reproductive Endocrinologist | 01051729A | IN |
NPI | 1306924469 |
---|---|
Provider Name | Robert Wah |
First Address | Chicago, IL 60610-5453 |
Second Address | Bethesda, MD 20814 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/11/2006 |
Last Update Date | 08/07/2007 |