NPI | 1407871221 |
---|---|
Former Name | SUSAN JANE RAZZUK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: TX K2717) |
Additional Taxonomies | 208600000X Surgery (Licence: FL ME91531) |
208600000X Surgery (Licence: TN 42821) | |
Enumeration Date | 2006-07-13 |
Last Update Date | 2011-10-12 |