| NPI | 1396126280 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NABIL AHMAD Md/ Owner 314-395-7699 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
| Enumeration Date | 2015-06-16 |
| Last Update Date | 2022-05-06 |