Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207U00000X | Nuclear Medicine Specialist | MD15131 | TN |
NPI | 1316051659 |
---|---|
Provider Name | Dr. William H Martin |
First Address | Nashville, TN 37232-0001 |
Second Address | Nashville, TN 37232-2675 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/08/2006 |
Last Update Date | 05/01/2015 |