Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | MD00037420 | WA |
NPI | 1205883352 |
---|---|
Provider Name | Dr. Daniel Gavrila |
First Address | Bellevue, WA 98004-4623 |
Second Address | Bellevue, WA 98004-4623 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/05/2006 |
Last Update Date | 13/02/2013 |