NPI | 1407855935 |
---|---|
Entity Type | Organization |
Authorized Contact | KHURSHEED SIDDIQUI Owner/Group President 859-236-0606 |
Organization Subpart ? | No |
Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine |
Additional Taxonomies | 174400000X Specialist (Licence: KY 28741) |
207LP2900X Anesthesiology, Pain Medicine | |
208VP0014X Pain Medicine, Interventional Pain Medicine | |
Enumeration Date | 2005-07-18 |
Last Update Date | 2017-12-28 |