Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207P00000X | Emergency Physician | NC | |
Y | 207PP0204X | Pediatric Emergency Physician | NC |
NPI | 1568480796 |
---|---|
Provider Name | William T Tsai |
First Address | Charlotte, NC 28203-5812 |
Second Address | Charlotte, NC 28203-5812 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/07/2006 |
Last Update Date | 06/12/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
142KH | NCBCBS (01) | NC |
5903928 | (05) | NC |
H25844 | (02) | NC |
N0045E | (05) | SC |