| NPI | 1992540827 |
|---|---|
| Doing Business As | SELF EMPLOYED |
| Entity Type | Organization |
| Authorized Contact | WAMBUI WARUINGI Physician 573-253-7249 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine |
| Enumeration Date | 2024-07-01 |
| Last Update Date | 2024-07-01 |