| NPI | 1124740915 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SWASTIK KUMAR SINHA Medical Director/CEO 314-949-3066 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2022-09-19 |
| Last Update Date | 2024-03-15 |