| NPI | 1962509992 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL H. GIBSON Owner, Sole Proprietor 314-849-5300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2007-09-27 |