| NPI | 1427509751 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NDUBUEZE FIDELIS OKONKWO Owner 316-452-5455 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology |
| Enumeration Date | 2016-10-21 |
| Last Update Date | 2016-11-01 |