| NPI | 1144704339 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHEA ROSARIO Administrator 316-498-1394 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Enumeration Date | 2018-09-24 |
| Last Update Date | 2019-03-04 |