| NPI | 1023113438 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHANDRA B. DOMMARAJU President 636-933-2344 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: MO MO106962) |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2021-04-26 |