| NPI | 1083988380 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VASANTHA PERJE PAI President 618-355-0880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: IL 036.097852) |
| Enumeration Date | 2012-03-05 |
| Last Update Date | 2012-03-05 |