| NPI | 1992868277 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANJAY GHOSH Phd Md Pc 636-390-2288 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine Rheumatology |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2017-03-21 |