| NPI | 1164746095 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD H DUBOU Owner 502-933-1100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0105X Surgery Surgery of the Hand (Licence: IN 01065446A) |
| Enumeration Date | 2010-03-22 |
| Last Update Date | 2012-03-01 |