| NPI | 1396147260 |
|---|---|
| Former Name | LAWRENCE BUSCH |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: SC LL94861) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical |
| Enumeration Date | 2014-09-22 |
| Last Update Date | 2025-06-26 |