Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086X0206X | Surgical Oncologist | 47398 | TN |
NPI | 1164663829 |
---|---|
Provider Name | Gitonga Munene |
First Address | Kalamazoo, MI 49007-3731 |
Second Address | Kalamazoo, MI 49007-3731 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/03/2009 |
Last Update Date | 09/10/2020 |