Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RI0200X | Infectious Disease | MD031400E | PA |
NPI | 1013348036 |
---|---|
Provider Name | Marc Joseph Gurwith |
First Address | Los Altos Hills, CA 94022-3334 |
Second Address | Menlo Park, CA 94025-3344 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/12/2013 |
Last Update Date | 01/12/2013 |