Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2080P0202X | Pediatric Cardiologist | 060603 | GA |
Y | 2080P0202X | Pediatric Cardiologist | MD60107076 | WA |
NPI | 1225215999 |
---|---|
Provider Name | Dr. Agustin Eduardo Rubio |
First Address | Seattle, WA 98105-3901 |
Second Address | Seattle, WA 98105-3901 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/01/2008 |
Last Update Date | 21/09/2009 |