| NPI | 1255709143 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANISH JABBAR Physician/Owner 636-282-0380 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MO 2009017188) |
| Enumeration Date | 2015-09-09 |
| Last Update Date | 2021-05-24 |