| NPI | 1144511825 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HAROON RASHEED Organizer 314-258-5142 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: TX M1235) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: TX H7705) |
| Enumeration Date | 2011-04-28 |
| Last Update Date | 2012-01-18 |