Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207T00000X | Neurosurgeon | MD0000002674 | TN |
NPI | 1063744605 |
---|---|
Provider Name | Dr. Dee James Canale |
First Address | Memphis, TN 38117-3920 |
Second Address | Memphis, TN 38117-3920 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/02/2010 |
Last Update Date | 08/02/2010 |