| NPI | 1528164217 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CISCO SHERMAN Office Manager 816-561-8125 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: MO 111192) |
| Enumeration Date | 2006-09-16 |
| Last Update Date | 2016-07-21 |