| NPI | 1609921196 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUKE JACOB DLABAL Owner Physician 816-347-1514 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: MO M030680) |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2007-08-01 |