| NPI | 1396945168 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HENRIKAS I JUKNIS President 636-928-0123 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: MO 2000158727) |
| Enumeration Date | 2007-07-20 |
| Last Update Date | 2020-09-21 |