NPI | 1912439894 |
---|---|
Entity Type | Organization |
Authorized Contact | MARTIN M MORTAZAVI Partner 805-795-7656 |
Organization Subpart ? | No |
Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: CA A112672) |
Additional Taxonomies | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: CA A118331) |
Enumeration Date | 2017-03-30 |
Last Update Date | 2017-03-30 |