| NPI | 1134108715 |
|---|---|
| Professional Name | MARK EDWARD DICKSON |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208600000X Surgery (Licence: TX H6165) |
| Additional Taxonomies | 208600000X Surgery (Licence: OK 19378) |
| Enumeration Date | 2006-01-12 |
| Last Update Date | 2012-05-09 |