| NPI | 1447221395 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY SHEN Delegated Official 314-569-2680 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MO R5H59) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MO R4F93) |
| Enumeration Date | 2006-01-30 |
| Last Update Date | 2007-11-13 |