| NPI | 1386184620 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAPOORA MANSHAII Owner / Provider 916-862-1819 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: CA C54919) |
| Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care (Licence: CA C54919) |
| Enumeration Date | 2017-03-06 |
| Last Update Date | 2024-03-09 |