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 Pain Medicine, Pain Medicine (Licence: NV 16537) |
Enumeration Date | 2011-03-23 |
Last Update Date | 2023-10-25 |