| NPI | 1659477024 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ETIHAD SHAKIR AL-FALAHI President 314-983-0606 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MO MD101423) |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2020-08-22 |