This doctor's or nurse's letter opener is made of black and gold marble and solid brass. The marble handle is exquisitely crafted with unique markings. It features a Caduceus symbol emblem, the classic symbol of Hermes with two snakes wrapping around an open winged staff. This medical theme letter opener is an ideal gift for doctor's nurses, medical aides and anyone else in the medical field. It comes packaged in a gift box and ships out within one business day.