170300000X
San Carlos, CA
Specialty
170300000X
Credential
M.S., CGC
NPI
1326382615
301 Industrial Rd, San Carlos, CA 94070
(650) 596-4200Confirm current license and practice information on the official CMS NPI registry.
View NPI RecordThis surgeon specializes in 170300000x procedures performed in an outpatient ambulatory surgical setting.
NUCC Taxonomy: 170300000X