| NPI | 1245401702 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABDUL KHALIQ MUHAMMUD Manager 314-355-2700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MO 2004022181) |
| Enumeration Date | 2008-03-12 |
| Last Update Date | 2008-03-12 |