NPI | 1831198357 |
---|---|
Entity Type | Organization |
Authorized Contact | SAMUEL FIGUEROA Anesthesiologist/ Group Leader 618-462-4989 |
Organization Subpart ? | No |
Primary Taxonomy | 174400000X Specialist (Licence: IL 036064092) |
Enumeration Date | 2005-07-18 |
Last Update Date | 2007-09-11 |