| NPI | 1518769710 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHAMMED AL-TEMIMI Owner 408-752-4088 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology |
| Additional Taxonomies | 208600000X Surgery |
| 208C00000X Colon & Rectal Surgery | |
| Enumeration Date | 2025-03-26 |
| Last Update Date | 2025-10-02 |