| NPI | 1477562965 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH GONZALEZ Practice Manager 314-645-3370 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MO R8B76) |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2008-04-20 |