| NPI | 1992567762 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | M-IRFAN SULEMAN Pediatric & Adult Pain Physician 502-386-2444 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207LP2900X Anesthesiology Pain Medicine |
| Additional Taxonomies | 261QM2500X Clinic/Center Medical Specialty |
| 261QP3300X Clinic/Center Pain | |
| 281PC2000X Chronic Disease Hospital Children | |
| Enumeration Date | 2024-01-26 |
| Last Update Date | 2024-12-13 |