| NPI | 1790984904 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAMAL R. DEMETRY President 314-996-8349 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: MO 105483) |
| Enumeration Date | 2007-07-17 |
| Last Update Date | 2007-07-17 |