| NPI | 1568590750 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIM K KAEMMERLEN Office Manager 314-887-6260 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: MO R4781) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 100880) |
| 207RA0201X Internal Medicine Allergy & Immunology (Licence: MO R4781) | |
| 207RA0201X Internal Medicine Allergy & Immunology (Licence: MO 115477) | |
| 207RG0100X Internal Medicine Gastroenterology (Licence: MO 34594) | |
| 207RR0500X Internal Medicine Rheumatology (Licence: MO R8J79) | |
| 207RR0500X Internal Medicine Rheumatology (Licence: MO R1K56) | |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2012-09-12 |