| NPI | 1770970899 |
|---|---|
| Other Name | TIM MANSOURI |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WP0000X Registered Nurse, Pain Management (Licence: CA 95003073) |
| Additional Taxonomies | 163WP0000X Registered Nurse, Pain Management (Licence: CA 656576) |
| Enumeration Date | 2015-04-16 |
| Last Update Date | 2020-03-03 |