| NPI | 1962580183 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | JOHN S FRIED Director 913-722-4240  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: KS 18381)  | 
| Enumeration Date | 2006-11-02 | 
| Last Update Date | 2020-08-22 |