| NPI | 1689779118 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAVI MEHRA Owner 314-966-8878 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MO 33143) |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2010-07-27 |