| NPI | 1790137115 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABDILLAHI M ABDINOOR Owner 314-749-0863 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: IN 01076014A) |
| Enumeration Date | 2016-07-09 |
| Last Update Date | 2016-07-09 |