| NPI | 1356632186 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES B DAVIS Executive Director 618-257-4644 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Additional Taxonomies | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology |
| Enumeration Date | 2011-04-27 |
| Last Update Date | 2013-02-21 |