| NPI | 1376956631 |
|---|---|
| Former Name | JOSEPH DREW IMAN |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0114X Orthopaedic Surgery Adult Reconstructive Orthopaedic Surgery (Licence: NV DO3258) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MI 5101021030) |
| 207XS0114X Orthopaedic Surgery Adult Reconstructive Orthopaedic Surgery (Licence: FL OS16167) | |
| Enumeration Date | 2014-06-04 |
| Last Update Date | 2024-09-24 |