| 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 |