| NPI | 1952740045 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN R SORELLE Owner 702-739-4263 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0105X Surgery, Surgery of the Hand (Licence: AZ 41010) |
| Enumeration Date | 2013-06-21 |
| Last Update Date | 2014-06-21 |