NPI | 1376234807 |
---|---|
Entity Type | Organization |
Authorized Contact | CHARINA YANGO-CADAVOS Physician 816-550-0646 |
Organization Subpart ? | No |
Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine |
Enumeration Date | 2023-05-16 |
Last Update Date | 2023-05-16 |