| NPI | 1235300401 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOWARD IVAN WEISS Secretary 314-569-3381 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MO R5105) |
| Enumeration Date | 2008-03-17 |
| Last Update Date | 2008-04-20 |