Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RA0201X | Internist - Allergy & Immunology | MD447471 | PA |
NPI | 1467790220 |
---|---|
Provider Name | Nikolaos Maniatis |
First Address | Pittsburgh, PA 15213-2536 |
Second Address | Pittsburgh, PA 15213-3236 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/01/2013 |
Last Update Date | 30/05/2013 |