| NPI | 1437399771 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENJAMIN Y. ALBANO Physician 636-937-8642 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MO 2001018643) |
| Enumeration Date | 2009-02-26 |
| Last Update Date | 2009-02-26 |