| NPI | 1245685601 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RINKI MAHAY Anesthesiologist 618-975-6206 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MO 2013030320) |
| Enumeration Date | 2016-05-04 |
| Last Update Date | 2016-05-04 |