NPI | 1104235241 |
---|---|
Entity Type | Organization |
Authorized Contact | WALTER LIN Chief Executive Officer 314-925-0903 |
Organization Subpart ? | No |
Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine |
Enumeration Date | 2014-08-02 |
Last Update Date | 2023-06-29 |