Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0400X | Neurologist | MD00033544 | WA |
N | 2084N0402X | Child Neurologist | MD00033544 | WA |
NPI | 1023103033 |
---|---|
Provider Name | Don Q. Thai |
First Address | Seattle, WA 98124-1876 |
Second Address | Renton, WA 98055-5738 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/10/2006 |
Last Update Date | 25/09/2012 |