Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207T00000X | Neurosurgeon | MD60273999 | WA |
NPI | 1093817785 |
---|---|
Provider Name | Andrew Lin Ko |
First Address | Seattle, WA 98145-5095 |
Second Address | Seattle, WA 98104-2433 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/09/2006 |
Last Update Date | 02/06/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1093817785 | (05) | WA |