Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RG0100X | Gastroenterologist | A109613 | CA |
NPI | 1043331283 |
---|---|
Provider Name | Laren S Becker |
First Address | Palo Alto, CA 94305-2200 |
Second Address | Palo Alto, CA 94305-2200 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/04/2007 |
Last Update Date | 12/11/2009 |