Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207K00000X | Allergist & Immunologist | 60484134 | WA |
NPI | 1073808028 |
---|---|
Provider Name | Dr. Daniel H Petroni |
First Address | Seattle, WA 98115-2060 |
Second Address | Seattle, WA 98115-2060 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/06/2011 |
Last Update Date | 03/09/2019 |