| NPI | 1578584587 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MUTHU S. KRISHNAN Md 573-302-2275 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MO R5P38) |
| Enumeration Date | 2006-07-22 |
| Last Update Date | 2020-08-22 |