| NPI | 1942596002 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMA MOHMOUD President 314-283-8498 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2011-06-27 |
| Last Update Date | 2011-06-27 |