Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | 114601 | MO |
NPI | 1093723975 |
---|---|
Provider Name | Raul Artal |
First Address | St Louis, MO 63117 |
Second Address | St Louis, MO 63117 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/08/2006 |
Last Update Date | 24/12/2009 |