Individual
HAI V LE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4860 Y ST STE 4860Y, SACRAMENTO, CA 95817-2307
(916) 734-2937
Mailing address
4860 Y ST STE 3800, SACRAMENTO, CA 95817-2307
(916) 734-2937
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
L-259395
MA
Other
Enumeration date
06/30/2014
Last updated
02/02/2021
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