| NPI | 1801193057 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL KUO Owner/President 270-765-4275 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine (Licence: KY 26059) |
| Enumeration Date | 2011-02-24 |
| Last Update Date | 2011-02-24 |