| NPI | 1750476784 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALFRED R ANTONETTI Founder 469-429-7558 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: TX E1491) |
| Additional Taxonomies | 2086S0105X Surgery Surgery of the Hand (Licence: TX M3861) |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2017-01-10 |