| NPI | 1912145608 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELLIOTT HENRY FARBERMAN President Of Corporation 314-921-7509 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MO R5711) |
| Enumeration Date | 2009-02-03 |
| Last Update Date | 2009-02-03 |