| NPI | 1184281131 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BASSEM EL-NABBOUT Direct Owner 316-253-8090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology |
| Additional Taxonomies | 208000000X Pediatrics |
| Enumeration Date | 2019-05-24 |
| Last Update Date | 2019-05-24 |