| NPI | 1528251337 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUBILINDA CASINO President 314-638-9309 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2007-08-24 |
| Last Update Date | 2012-03-01 |