| NPI | 1174634133 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JORGE J HERNANDEZ Owner/President 314-644-2333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MO 36611) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2008-04-09 |