| NPI | 1255522819 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AHMAREEN KHAN Md/Managing Employee 636-447-9277 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: MO 108033) |
| Enumeration Date | 2007-08-07 |
| Last Update Date | 2007-10-17 |