NPI | 1881623577 |
---|---|
Entity Type | Organization |
Authorized Contact | MOHAMMED Y MANSURI Staffcardiologist 618-997-5311 |
Organization Subpart ? | No |
Primary Taxonomy | 261QV0200X Clinic/Center, VA (Licence: IL 4301040401) |
Enumeration Date | 2006-07-03 |
Last Update Date | 2020-08-22 |