| NPI | 1891729497 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANULLAH KHAN PATHAN President 618-239-3356 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2010-06-22 |