| NPI | 1316905441 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VISWANATHAN SUBRAMANIAN Noenatologist 417-820-3219 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: MO MD112266) |
| Enumeration Date | 2006-05-01 |
| Last Update Date | 2020-08-22 |