| NPI | 1558563767 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUNG H. LEE CEO 636-937-0817 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MO R8562) |
| Enumeration Date | 2007-06-01 |
| Last Update Date | 2012-01-03 |