| NPI | 1770912743 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER KHORSANDI Sole Proprietor 702-608-1318 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2082S0105X Plastic Surgery Surgery of the Hand (Licence: NV 13044) |
| Enumeration Date | 2013-11-10 |
| Last Update Date | 2014-05-01 |