Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208800000X | Urologist | MD444413 | PA |
NPI | 1023205572 |
---|---|
Provider Name | Tatum Tarin |
First Address | Pittsburgh, PA 15219 |
Second Address | Pittsburgh, PA 15219-4738 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/09/2007 |
Last Update Date | 25/03/2021 |