| NPI | 1841654423 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL E. NELLESTEIN President/Owner 816-291-4149 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| Additional Taxonomies | 2086S0129X Surgery Vascular Surgery |
| Enumeration Date | 2016-04-08 |
| Last Update Date | 2017-01-17 |