Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0000X | Hematologist | 34967 | TN |
N | 207RX0202X | Medical Oncology | 34967 | TN |
NPI | 1205821998 |
---|---|
Provider Name | Salomon Asmar |
First Address | Jackson, TN 38302-0400 |
Second Address | Jackson, TN 38305-3618 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/09/2005 |
Last Update Date | 29/11/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
3861770 | (05) | TN |
D8457 | (02) | TN |