Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YS0123X | Facial Plastic Surgeon | G13912 | CA |
NPI | 1518004704 |
---|---|
Provider Name | Melvin Gunsberg |
First Address | Palo Alto, CA 94303 |
Second Address | Palo Alto, CA 94303-4644 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/01/2007 |
Last Update Date | 17/11/2015 |