| NPI | 1205000650 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IRWIN TANI Office Manager 314-752-7370 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MO R9065) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO R9065) |
| Enumeration Date | 2008-04-16 |
| Last Update Date | 2022-07-21 |