| NPI | 1174699193 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | K GEORGE THAMPY Director 314-842-1588 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: MO 112762) |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2020-04-22 |