| NPI | 1740369917 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRASANNA C KUMAR President 618-877-3066 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2008-12-08 |