| NPI | 1558741736 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY ZHOU Owner 502-423-3225 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2015-06-03 |
| Last Update Date | 2017-01-23 |