| NPI | 1053600114 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABDUL SHAHID Owner / Physician 937-344-7569 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology Pain Medicine |
| Additional Taxonomies | 2081H0002X Physical Medicine & Rehabilitation Hospice and Palliative Medicine (Licence: OH 35085482) |
| 2081P2900X Physical Medicine & Rehabilitation Pain Medicine (Licence: OH 35085482) | |
| 208VP0014X Pain Medicine Interventional Pain Medicine | |
| Enumeration Date | 2011-03-29 |
| Last Update Date | 2025-04-03 |