| NPI | 1598903585 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MITCHELL LIBERMAN Owner 314-588-8511 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: MO 4301089175) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 4301089175) |
| Enumeration Date | 2009-01-28 |
| Last Update Date | 2009-02-02 |