| NPI | 1558957415 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANNY PARK Md 419-509-3726 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine |
| Additional Taxonomies | 207L00000X Anesthesiology |
| Enumeration Date | 2020-12-15 |
| Last Update Date | 2020-12-15 |