| NPI | 1679637870 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEN GOLDSTEIN Officer 314-427-2424 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207KA0200X Allergy & Immunology, Allergy |
| 207N00000X Dermatology | |
| 207RC0000X Internal Medicine, Cardiovascular Disease | |
| 207RG0100X Internal Medicine, Gastroenterology | |
| 207V00000X Obstetrics & Gynecology | |
| 208000000X Pediatrics | |
| 208D00000X General Practice | |
| 213E00000X Podiatrist | |
| Enumeration Date | 2006-12-21 |
| Last Update Date | 2008-02-14 |