| NPI | 1508460494 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH YAZDI Owner 314-066-0853 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083C0008X Preventive Medicine, Clinical Informatics Specialist |
| Enumeration Date | 2020-11-23 |
| Last Update Date | 2020-11-25 |