Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VX0201X | Gynecologic Oncologist | 2020022079 | MO |
NPI | 1154393411 |
---|---|
Provider Name | Dan-Arin Silasi |
First Address | Saint Louis, MO 63141-0001 |
Second Address | Saint Louis, MO 63141-0001 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/02/2006 |
Last Update Date | 09/09/2020 |