| NPI | 1407392350 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MUKESH GARG Owner 816-507-0701 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: NE 27641) |
| Enumeration Date | 2017-01-17 |
| Last Update Date | 2017-02-28 |