| NPI | 1669837902 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTIN MORTAZAVI President 602-810-7403 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery |
| Additional Taxonomies | 174400000X Specialist (Licence: CA A112672) |
| Enumeration Date | 2015-12-30 |
| Last Update Date | 2017-05-02 |