NPI | 1578824256 |
---|---|
Entity Type | Organization |
Authorized Contact | RON JAVDAN President/Physician 314-434-1399 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MO R8435) |
Enumeration Date | 2012-05-30 |
Last Update Date | 2012-05-30 |