Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207T00000X | Neurosurgeon | A40115 | CA |
NPI | 1003997685 |
---|---|
Provider Name | Murtadha H Al-Marashi |
First Address | Monterey, CA 93942-3013 |
Second Address | Monterey, CA 93940-2904 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/10/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
BA1425443 | DEA (01) | CA |