| NPI | 1427175645 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY DAVID KOENIG President 314-298-1600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MO MDR3G44) |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2014-09-05 |