| NPI | 1942545041 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JIMMY ST. LOUIS Mgrm 855-863-4537 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RS0012X Internal Medicine, Sleep Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2012-12-01 |
| Last Update Date | 2012-12-01 |