| NPI | 1104954692 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NAYYER IBRAHIM Administrator 314-432-5144 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MO 109425) |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2009-03-17 |