Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207K00000X | Allergist & Immunologist | G75867 | CA |
NPI | 1184614679 |
---|---|
Provider Name | Dr. Ronald D Deguzman |
First Address | Washington, DC 20307-0003 |
Second Address | Washington, DC 20307-0003 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/10/2005 |
Last Update Date | 17/05/2011 |