NPI | 1306108618 |
---|---|
Entity Type | Organization |
Authorized Contact | SUK KI KIM President 270-684-5679 |
Organization Subpart ? | Yes |
Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: KY 17728) |
Enumeration Date | 2012-06-12 |
Last Update Date | 2013-06-10 |