| NPI | 1164721627 |
|---|---|
| Former Name | SHAO YOU SU |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: NV 16537) |
| Additional Taxonomies | 208VP0000X (Licence: NV 16537) |
| Enumeration Date | 2011-03-23 |
| Last Update Date | 2023-10-25 |