| NPI | 1912043373 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID M MARGOLIS Md 314-355-4010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MO R5990) |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2011-02-10 |