Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 0101232227 | VA |
N | 208600000X | Surgeon | 0101232227 | VA |
Y | 2086S0129X | Vascular Surgeon | 0101232227 | VA |
NPI | 1033146337 |
---|---|
Provider Name | Dr. Paul William White |
First Address | Baltimore, MD 21297-3174 |
Second Address | Falls Church, VA 22042-1205 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/06/2006 |
Last Update Date | 20/10/2021 |