NPI | 1790950889 |
---|---|
Former Name | THOMAS TYSVER |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207XS0106X Orthopaedic Surgery Hand Surgery (Licence: MT 26885) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NY 266008) |
Enumeration Date | 2008-04-29 |
Last Update Date | 2013-08-29 |