Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086X0206X | Surgical Oncologist | 16256 | IA |
NPI | 1407813272 |
---|---|
Provider Name | Dr. Nicholas Peter Rossi |
First Address | Iowa City, IA 52246-4616 |
Second Address | Iowa City, IA 52246-4616 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/04/2006 |
Last Update Date | 08/07/2007 |