| NPI | 1366560492 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IRA H FISHMAN Doctor 913-341-0090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: KS 05-23842) |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2020-08-22 |