Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207U00000X | Nuclear Medicine Specialist | NC | |
N | 207U00000X | Nuclear Medicine Specialist | 052031 | GA |
N | 207U00000X | Nuclear Medicine Specialist | 149922-1 | NY |
N | 207U00000X | Nuclear Medicine Specialist | 23210 | SC |
NPI | 1669565651 |
---|---|
Provider Name | Dr. Paul Eric Weiss |
First Address | Arden, NC 28704-8328 |
Second Address | Arden, NC 28704-8328 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/10/2006 |
Last Update Date | 08/07/2007 |