| NPI | 1528044591 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RADHA D GEISMANN President / Physician 314-872-9310 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MO 105667) |
| Enumeration Date | 2005-12-21 |
| Last Update Date | 2007-10-02 |