| NPI | 1730101627 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WAEL F GIRGIS President 618-239-6130 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism |
| Enumeration Date | 2006-07-23 |
| Last Update Date | 2007-10-01 |