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 |