| NPI | 1164685053 |
|---|---|
| Former Name | M JEFFREY S ZACKARY |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: OH 35094018) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: TN 46324) |
| Enumeration Date | 2008-07-09 |
| Last Update Date | 2013-09-10 |