| NPI | 1639387194 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEITH A ROBERTSON Physician 805-648-3902 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: CA A70336) |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2009-08-21 |