| NPI | 1386014298 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GURURAU SUDARSHAN Md/CEO 513-673-9612 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH COA.17640-NP) |
| Enumeration Date | 2015-10-05 |
| Last Update Date | 2024-04-03 |