Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207K00000X | Allergist & Immunologist | MD37136 | TN |
N | 207RA0201X | Internist - Allergy & Immunology | MD37136 | TN |
N | 207RC0200X | Critical Care Medicine | MD37136 | TN |
N | 207RP1001X | Pulmonary Disease | MD37136 | TN |
NPI | 1518041623 |
---|---|
Provider Name | Ryszard Dworski |
First Address | Nashville, TN 37232-0001 |
Second Address | Nashville, TN 37232-0001 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/10/2006 |
Last Update Date | 19/10/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
I30186 | (02) |