Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207K00000X | Allergist & Immunologist | 17425 | KY |
NPI | 1194718858 |
---|---|
Provider Name | Dr. Daniel P Garcia |
First Address | Louisville, KY 40223-2992 |
Second Address | Louisville, KY 40222-5003 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/08/2005 |
Last Update Date | 26/05/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
7100246270 | (05) | KY |
E39189 | (02) | KY |