| NPI | 1356820856 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BO CE CUI Md Owner 402-717-2121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Additional Taxonomies | 2083P0011X Preventive Medicine Undersea and Hyperbaric Medicine |
| Enumeration Date | 2018-08-07 |
| Last Update Date | 2024-04-04 |