| NPI | 1114958097 |
|---|---|
| Other Name | C. PHIFER NICHOLSON |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: MN 31132) |
| Additional Taxonomies | 208600000X Surgery (Licence: MN 31132) |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2017-03-08 |