| NPI | 1619216801 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHIDEEN A JAMALUDDIN President 636-937-0200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MO R9519) |
| Enumeration Date | 2013-02-07 |
| Last Update Date | 2013-06-27 |