| NPI | 1003214396 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL NICOSON Founding Partner 502-409-6898 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2082S0105X Plastic Surgery, Surgery of the Hand (Licence: KY 47277) |
| Enumeration Date | 2014-12-18 |
| Last Update Date | 2015-07-01 |