| NPI | 1508101775 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AS'AD EHTISHAM Owner 316-303-2153 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: KS 04-31300) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: KS 04-31300) |
| Enumeration Date | 2012-11-29 |
| Last Update Date | 2012-11-29 |