Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207U00000X | Nuclear Medicine Specialist | 33036 | MO |
NPI | 1356381438 |
---|---|
Provider Name | Munir Ahmad |
First Address | Saint Louis, MO 63150-0001 |
Second Address | Saint Louis, MO 63117-1811 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/06/2006 |
Last Update Date | 28/04/2008 |