| NPI | 1871960385 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AHMED SYED ALI President 314-736-1333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 208100000X Physical Medicine & Rehabilitation | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2015-09-01 |
| Last Update Date | 2016-03-24 |