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 |