| NPI | 1831256114 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KHURSHEED A. SIDDIQUI Owner 859-268-1030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine |
| Additional Taxonomies | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| 207LP2900X Anesthesiology, Pain Medicine | |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2014-12-01 |