| NPI | 1649212770 |
|---|---|
| Former Name | JOHN DOUGLAS ESTES |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA C145502) |
| Additional Taxonomies | 207RA0401X Internal Medicine, Addiction Medicine (Licence: AK 6922) |
| 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: AK 6922) | |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2023-04-17 |