| NPI | 1861433443 |
|---|---|
| Professional Name | T RANDY HANSEN |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: AZ 18493) |
| Additional Taxonomies | 208600000X Surgery (Licence: UT 1803601205) |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2015-02-19 |