Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207L00000X | Anesthesiologist | MD60647961 | WA |
NPI | 1003100488 |
---|---|
Provider Name | Dr. Gene Paek |
First Address | Seattle, WA 98124-0503 |
Second Address | Bellevue, WA 98004-4604 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/06/2011 |
Last Update Date | 27/12/2016 |