NPI | 1700863719 |
---|---|
Other Name | CHRISTIAN D BENTLEY |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NC 2022-01853) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: VA 0101280345) |
207X00000X Orthopaedic Surgery (Licence: MI 5315089846) | |
Enumeration Date | 2005-12-30 |
Last Update Date | 2025-01-21 |