NPI | 1063688273 |
---|---|
Entity Type | Organization |
Authorized Contact | MITRA EHSAN Owner 206-669-7639 |
Organization Subpart ? | No |
Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: WA MD00039612) |
Additional Taxonomies | 208600000X Surgery (Licence: WA MD00039612) |
Enumeration Date | 2008-05-07 |
Last Update Date | 2019-09-04 |