| NPI | 1730512070 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY T HOLMES Provider Owner 408-356-4959 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: CA G48778) |
| Enumeration Date | 2013-08-09 |
| Last Update Date | 2013-08-09 |