| NPI | 1760943047 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLAGUOKE AKINWANDE CEO 314-380-3099 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246XC2903X Spec/Tech, Cardiovascular, Vascular Specialist |
| Additional Taxonomies | 2471C1101X Radiologic Technologist, Cardiovascular-Interventional Technology |
| 2471N0900X Radiologic Technologist, Nuclear Medicine Technology | |
| 2471V0106X Radiologic Technologist, Vascular-Interventional Technology | |
| Enumeration Date | 2019-03-28 |
| Last Update Date | 2019-04-22 |