NPI | 1154730414 |
---|---|
Entity Type | Organization |
Authorized Contact | MOHAMMED ZAHID SIDDIQUI Physician 314-330-0171 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: IL 036-097325) |
Enumeration Date | 2014-08-11 |
Last Update Date | 2014-08-11 |