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 |