Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207T00000X | Neurosurgeon | MD5273 | TN |
NPI | 1023011103 |
---|---|
Provider Name | Dr. Harry Friedman |
First Address | Memphis, TN 38119 |
Second Address | Memphis, TN 38119 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/05/2005 |
Last Update Date | 20/07/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
B02341 | (02) | TN |