| NPI | 1578331161 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL GERSHENZON Chief Financial Officer 937-838-0568 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 261QP3300X Clinic/Center Pain |
| Enumeration Date | 2023-12-13 |
| Last Update Date | 2023-12-13 |