| NPI | 1104929546 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAYANK GUPTA Owner 913-339-9437 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine |
| Additional Taxonomies | 207L00000X Anesthesiology |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2022-01-17 |