NPI | 1982946141 |
---|---|
Former Name | LINDSAY TYROL KLEEMAN |
Entity Type | Individual |
Gender | N/A |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: VT 042.0015319) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CO DR.0060342) |
Enumeration Date | 2013-03-26 |
Last Update Date | 2021-07-27 |