Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 174V00000X | Clinical Ethicist | MD00018011 | WA |
NPI | 1487916375 |
---|---|
Provider Name | Thomas I Kaufman |
First Address | Tumwater, WA 98501-4639 |
Second Address | Tumwater, WA 98501-4639 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 15/06/2012 |
Last Update Date | 15/06/2012 |