Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207T00000X | Neurosurgeon | G44185 | CA |
NPI | 1073548244 |
---|---|
Provider Name | Joseph E Welsh |
First Address | Mountain View, CA 94040-3855 |
Second Address | Mountain View, CA 94040-3855 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/07/2006 |
Last Update Date | 09/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
A49577 | (02) | CA |