| NPI | 1750317020 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMORN SALYAPONGSE President 618-235-8500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2082S0105X Plastic Surgery, Surgery of the Hand (Licence: IL 036046586) |
| Enumeration Date | 2006-06-25 |
| Last Update Date | 2020-08-22 |