Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208800000X | Urologist | 57498 | TN |
N | 208800000X | Urologist | ME132317 | FL |
NPI | 1043584949 |
---|---|
Provider Name | Alberic Rogman |
First Address | Nashville, TN 37209-4035 |
Second Address | Nashville, TN 37209 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/02/2012 |
Last Update Date | 20/08/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
Q037665 | (05) | TN |