| NPI | 1386693976 |
|---|---|
| Former Name | LANCE WINTER |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: AZ 4408) |
| Additional Taxonomies | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: TX P7228) |
| 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: FL OS13477) | |
| Enumeration Date | 2006-05-09 |
| Last Update Date | 2023-01-29 |