| NPI | 1235362112 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVE K JAIN Owner 573-888-4226 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MO R1K93) |
| Enumeration Date | 2009-08-26 |
| Last Update Date | 2009-08-26 |