| NPI | 1093835712 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN M LAIRD Internal Medicine Physician 314-872-3620 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MO M028214) |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2010-01-07 |