Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208800000X | Urologist | 22748 | WA |
Y | 208800000X | Urologist | MD00022748 | WA |
NPI | 1033298674 |
---|---|
Provider Name | Robert M Weissman |
First Address | Bellevue, WA 98004 |
Second Address | Bellevue, WA 98004 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/11/2006 |
Last Update Date | 12/02/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
A06021 | (02) |