| NPI | 1497037899 |
|---|---|
| Professional Name | CARTER WALLACE |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: GA 90501) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: AL MD.35643) |
| 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: AL MD.35643) | |
| Enumeration Date | 2011-09-13 |
| Last Update Date | 2022-08-22 |