| NPI | 1275723124 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SULEMAN SADIQ Owner 316-462-1074 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: KS 04-16010) |
| Enumeration Date | 2007-07-26 |
| Last Update Date | 2007-07-26 |