| NPI | 1124278353 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VEENA D DIVECHA Radiation Oncologist 314-775-1999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: MO 2005035771) |
| Enumeration Date | 2008-09-24 |
| Last Update Date | 2012-06-07 |