| NPI | 1619327376 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES B DAVIS Executive Director 618-257-4644 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease |
| 207RI0011X Internal Medicine, Interventional Cardiology | |
| Enumeration Date | 2016-06-14 |
| Last Update Date | 2016-06-14 |