Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 204F00000X | Transplant Surgeon | A97147 | CA |
NPI | 1760679591 |
---|---|
Provider Name | Amy E. Gallo |
First Address | Palo Alto, CA 94303-3341 |
Second Address | Palo Alto, CA 94304-1510 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 25/09/2007 |
Last Update Date | 20/09/2016 |