| NPI | 1346495942 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GUILLERMO COUCHONNAL Owner 816-942-4755 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: KS 0417557) |
| Enumeration Date | 2008-11-24 |
| Last Update Date | 2008-11-24 |