| NPI | 1821434242 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MITCHELL LIBERMAN Owner 314-262-6755 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: MO 112767) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MO 112767) |
| Enumeration Date | 2013-05-13 |
| Last Update Date | 2013-05-13 |