| NPI | 1518252691 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL J. BERTRAM Owner 513-922-2204 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: OH 35084075) |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 208VP0014X Pain Medicine, Interventional Pain Medicine | |
| Enumeration Date | 2011-06-16 |
| Last Update Date | 2014-05-14 |