| NPI | 1851509855 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHUTOSH H. PATEL Physician 636-937-1528 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: MO 106434) |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2012-02-03 |