| NPI | 1164720041 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAJEEV DEWAN President 636-333-4500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine Infectious Disease (Licence: MO 2004025502) |
| Enumeration Date | 2011-03-02 |
| Last Update Date | 2012-07-18 |