NPI | 1225422363 |
---|---|
Former Name | MARYNA SOHRABI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208600000X Surgery (Licence: NC 2020-00049) |
Additional Taxonomies | 208600000X Surgery (Licence: CA A180348) |
Enumeration Date | 2015-03-26 |
Last Update Date | 2024-02-19 |