| NPI | 1841544251 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIVEK K MANCHANDA President 636-329-9077 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X (Licence: MO 2006017511) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MO 2006017511) |
| Enumeration Date | 2012-11-07 |
| Last Update Date | 2015-04-26 |