| NPI | 1114764107 |
|---|---|
| Doing Business As | SPINE AND PAIN REGENERATIVE MEDICINE |
| Entity Type | Organization |
| Authorized Contact | DAVID KIM CEO 703-349-4205 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Additional Taxonomies | 208VP0000X Pain Medicine, Pain Medicine |
| Enumeration Date | 2024-07-09 |
| Last Update Date | 2024-07-16 |