Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | IN PROCESS | CA |
NPI | 1255638151 |
---|---|
Provider Name | Pier Francesco Indelli |
First Address | San Jose, CA 95120-2145 |
Second Address | San Jose, CA 95120-2145 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 12/02/2011 |
Last Update Date | 12/02/2011 |