NPI | 1356438204 |
---|---|
Entity Type | Organization |
Authorized Contact | MOHAMMAD A POURSHAHMIR President 818-205-3540 |
Organization Subpart ? | No |
Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: CA A78449) |
Enumeration Date | 2006-10-10 |
Last Update Date | 2023-12-13 |