| NPI | 1588868863 |
|---|---|
| Former Legal Business Name | SIMI EAR, NOSE THROAT |
| Entity Type | Organization |
| Authorized Contact | MARTIN E. WAREHAM Managing Partner 805-527-7320 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Enumeration Date | 2007-06-12 |
| Last Update Date | 2016-06-06 |