| NPI | 1093245979 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAMI MORTADA Medical Director 316-518-7737 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: KS 04-35481) |
| Enumeration Date | 2017-06-14 |
| Last Update Date | 2022-07-21 |