Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | 46658 | KY |
Y | 207RH0002X | Hospice and Palliative Medicine | A103743 | CA |
NPI | 1184672040 |
---|---|
Provider Name | Dr. Marc Daniel Rothman |
First Address | Nashville, TN 37201-1835 |
Second Address | Nashville, TN 37201-1835 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/05/2006 |
Last Update Date | 05/08/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
I45518 | (02) | CT |