| NPI | 1265856124 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHAMMADREZA ROHANINEJAD Provider/ Owner 408-356-4959 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: CA A108612) |
| Enumeration Date | 2014-02-13 |
| Last Update Date | 2014-02-13 |