| NPI | 1952622631 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FESTUS A NDUKWU Md 417-717-0410 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MO 2007019792) |
| Enumeration Date | 2010-06-17 |
| Last Update Date | 2015-01-22 |