In October 1907, he moved on to General Office Director of Army Medicine (corresponding to Lieutenant General), then assumed office at the Medical bureau of the Department of War (the top army surgeon with authority over human resources).
1907年（明治40年）10月、軍医総監（中将相当）に昇進し、陸軍省医務局（人事権をもつ軍医のトップ）に就任した。