104100000X
Palo Alto, CA
Specialty
104100000X
Credential
LCS
NPI
1285702852
795 El Camino Real, Palo Alto, CA 94301
(650) 324-1832Confirm current license and practice information on the official CMS NPI registry.
View NPI RecordThis surgeon specializes in 104100000x procedures performed in an outpatient ambulatory surgical setting.
NUCC Taxonomy: 104100000X