| NPI | 1598789513 |
|---|---|
| Other Name | J THOMAS GRISSOM |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: AK 6558) |
| Additional Taxonomies | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: ID M-7402) |
| 207L00000X Anesthesiology (Licence: AK 6558) | |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2012-11-05 |