| NPI | 1427165570 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THALES PAVLATOS Managing Director 937-399-7164 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine |
| Enumeration Date | 2006-08-24 |
| Last Update Date | 2013-02-15 |