Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 204F00000X | Transplant Surgeon | A129048 | CA |
N | 208200000X | Surgeon | A129048 | CA |
N | 208600000X | Surgeon | A129048 | CA |
N | 208800000X | Urologist | A129048 | CA |
NPI | 1841559275 |
---|---|
Provider Name | Eric Miller |
First Address | Los Altos, CA 94022-1408 |
Second Address | San Francisco, CA 94109-6978 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/05/2012 |
Last Update Date | 27/08/2020 |