NPI | 1639496292 |
---|---|
Former Name | BENJAMIN TODD BJERKE-KROLL |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: IN 01086937A) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NY 259024) |
207X00000X Orthopaedic Surgery (Licence: MN 59080) | |
207X00000X Orthopaedic Surgery (Licence: IN 01086937A) | |
Enumeration Date | 2010-04-22 |
Last Update Date | 2024-02-20 |