| NPI | 1558553024 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VASANTHA PERAJE PAI Gastroenterologist 618-355-0880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: IL 036097852) |
| Enumeration Date | 2007-08-17 |
| Last Update Date | 2007-11-08 |