| NPI | 1235196056 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY R BOLLER Manager 402-435-1400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: SD 1762) |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2012-01-10 |