| NPI | 1528336518 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANISHA PATWARDHAN Owner 314-375-6630 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MO 2000169533) |
| Enumeration Date | 2011-12-06 |
| Last Update Date | 2011-12-06 |