| NPI | 1811368244 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AFFAN WAHEED Member 314-336-0945 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2015-10-12 |
| Last Update Date | 2023-02-23 |