| NPI | 1396849451 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES R. NATHAN Plastic Surgeon 314-569-1030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: MO J114044009) |
| Enumeration Date | 2006-09-11 |
| Last Update Date | 2008-02-29 |