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Individual
VU H LE
Active
Individual
VU H LE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
A110392
CA
207XS0117X
Orthopaedic Surgery of the Spine Physician
A110392
CA
Other
Enumeration date
07/29/2008
Last updated
09/22/2014
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