Edward L Ellsworth, M.D. Valid NPI

Individual provider · Anatomic Pathology & Clinical Pathology Physician · Los Gatos, CA

NPI

1477547008

Type

Individual (Type 1)

Primary specialty

Anatomic Pathology & Clinical Pathology Physician (Pathology)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

207ZP0102X

License number

A21796 (CA)

Sex

Male

Sole proprietor

No

Enumerated

2005-09-09

Last updated

2014-05-30