| NPI | 1780128140 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JARED LEE Chief Administrative Officer 402-937-9392 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207QG0300X Family Medicine Geriatric Medicine |
| 207RH0003X Internal Medicine Hematology & Oncology | |
| Enumeration Date | 2016-12-05 |
| Last Update Date | 2024-10-04 |