NPI | 1326097924 |
---|---|
Entity Type | Organization |
Authorized Contact | PETER S. KIM Physician/Owner 618-664-9002 |
Organization Subpart ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: IL 036090402) |
Enumeration Date | 2006-05-09 |
Last Update Date | 2020-08-22 |