Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 135726 | NC |
N | 208600000X | Surgeon | 135726 | NC |
N | 208200000X | Surgeon | 54313 | CT |
N | 208600000X | Surgeon | 54313 | CT |
N | 2086S0102X | Surgical Critical Care | 54313 | CT |
N | 2086S0102X | Surgical Critical Care | MD450778 | PA |
Y | 2086S0127X | Trauma Surgeon | 54313 | CT |
N | 2086S0127X | Trauma Surgeon | MD450778 | PA |
NPI | 1275714008 |
---|---|
Provider Name | Dr. Robert David Becher |
First Address | New Haven, CT 06520-8062 |
Second Address | New Haven, CT 06510 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/11/2007 |
Last Update Date | 21/07/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
60171B | (02) | NC |