| NPI | 1396803995 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REZA ROFOUGARAN Director 314-875-0380 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: MO 101819) |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2012-06-10 |