NPI | 1528067949 |
---|---|
Former Name | DEBORA FOX |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: AZ 40295) |
Additional Taxonomies | 208600000X Surgery (Licence: AZ 40295) |
208C00000X Colon & Rectal Surgery (Licence: WA MD00038255) | |
Enumeration Date | 2005-07-18 |
Last Update Date | 2023-10-24 |