| NPI | 1114048154 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUBILINDA GIMENA CASINO Medical Director 314-638-9309 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: MO R5P40) |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2008-06-16 |