| NPI | 1609065051 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SURESH NELLORE Authorize Official 314-729-1570 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease |
| Additional Taxonomies | 163W00000X Registered Nurse |
| 364SA2100X Clinical Nurse Specialist, Acute Care | |
| Enumeration Date | 2007-10-22 |
| Last Update Date | 2008-02-18 |