| NPI | 1871565804 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GHASSAN KHOUKAZ Owner Of Practice 314-577-5778 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MO 2005005178) |
| Enumeration Date | 2006-02-03 |
| Last Update Date | 2007-10-17 |