NPI | 1326080755 |
---|---|
Entity Type | Organization |
Authorized Contact | SRINIVASA RAO G. VASA Owner 913-220-5193 |
Organization Subpart ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: KS 04-27796) |
Enumeration Date | 2006-06-11 |
Last Update Date | 2014-03-26 |