| NPI | 1902500630 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAGHUVEER KURA Owner 636-224-6625 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207RN0300X Internal Medicine Nephrology |
| Additional Taxonomies | 207RR0500X Internal Medicine Rheumatology |
| Enumeration Date | 2023-03-28 |
| Last Update Date | 2023-10-17 |