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 |