Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RA0201X | Internist - Allergy & Immunology | 60765 | TN |
NPI | 1851707616 |
---|---|
Provider Name | Saul M Greenbaum |
First Address | Germantown, TN 38183-1662 |
Second Address | Memphis, TN 38119-0882 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/07/2014 |
Last Update Date | 02/02/2022 |