| NPI | 1932315942 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOYOSORE KIKELOMO ONIFADE Manager 314-355-5300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MO 2002019255) |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2024-06-19 |