| NPI | 1518111368 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HABTOM HAILEMARIAM Office Manager 314-995-6262 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: LA MD201504) |
| Enumeration Date | 2008-11-06 |
| Last Update Date | 2008-11-06 |