| NPI | 1316006190 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FELICITAS GATCHALIAN Managing Employee 314-644-3433 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MO 36374) |
| Enumeration Date | 2006-12-07 |
| Last Update Date | 2008-06-23 |