Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XP3100X | Pediatric Orthopaedic Surgeon | C28609 | CA |
NPI | 1750500781 |
---|---|
Provider Name | Dr. David Jay Graubard |
First Address | San Jose, CA 95128-3901 |
Second Address | San Jose, CA 95128-3901 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 25/04/2007 |
Last Update Date | 08/07/2007 |