| NPI | 1104009240 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AFTAB A ANSARI Owner 262-652-4878 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery Hand Surgery (Licence: WI 21598) |
| Enumeration Date | 2007-12-12 |
| Last Update Date | 2008-04-20 |