| NPI | 1881693679 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLARKE LATTA HENRY President 816-942-0770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| Enumeration Date | 2005-07-14 |
| Last Update Date | 2022-07-21 |