NPI | 1386809028 |
---|---|
Professional Name | GENE SLOCUM |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: MT 11841) |
Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: WY TL#1019) |
Enumeration Date | 2008-07-22 |
Last Update Date | 2024-10-16 |