Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RA0201X | Internist - Allergy & Immunology | A95614 | CA |
NPI | 1275735193 |
---|---|
Provider Name | Sean G. Deane |
First Address | Sacramento, CA 95823-4671 |
Second Address | Sacramento, CA 95823-4671 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/06/2007 |
Last Update Date | 14/12/2021 |