Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0000X | Hematologist | MD00009378 | WA |
NPI | 1255415972 |
---|---|
Provider Name | Saul E. Rivkin |
First Address | Seattle, WA 98124-8426 |
Second Address | Seattle, WA 98104-3588 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/10/2006 |
Last Update Date | 17/02/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1466101 | (05) | WA |
A 05472 | (02) |