| NPI | 1215359484 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TARIK FIROZI President 618-207-0900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MO 2008030945) |
| Enumeration Date | 2014-01-07 |
| Last Update Date | 2014-01-07 |