NPI | 1871767475 |
---|---|
Doing Business As | MATTHEW WILSON, M.D. |
Entity Type | Organization |
Authorized Contact | MATTHEW STEWART WILSON Member 314-251-7720 |
Organization Subpart ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MO 2008006048) |
Enumeration Date | 2008-04-15 |
Last Update Date | 2008-04-15 |