| NPI | 1265597819 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAUL GALAGNARA ENAD Owner 636-723-5116 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MO 2005031797) |
| Enumeration Date | 2006-12-26 |
| Last Update Date | 2011-06-27 |