| NPI | 1396001293 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAHER TABBA Owner 573-529-0843 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MA 228033) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine |
| Enumeration Date | 2012-04-04 |
| Last Update Date | 2012-04-05 |