Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | G87279 | CA |
NPI | 1013082643 |
---|---|
Provider Name | Dr. Laurence Katznelson |
First Address | Stanford, CA 94305-5826 |
Second Address | Stanford, CA 94035-5826 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/11/2006 |
Last Update Date | 06/03/2009 |