| NPI | 1083010458 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL S MANCINA Owner 913-963-1792 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: KS 0421587) |
| Enumeration Date | 2014-11-13 |
| Last Update Date | 2014-11-13 |