Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | 014608 | LA |
N | 207X00000X | Orthopaedic Surgeon | 16725 | MS |
NPI | 1033101290 |
---|---|
Provider Name | Dr. David W. Aiken |
First Address | Metairie, LA 70006-2933 |
Second Address | Metairie, LA 70006-2933 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 15/08/2005 |
Last Update Date | 17/06/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
02494 | BLUE CROSS (01) | LA |
E 04970 | (02) | LA |