| NPI | 1699391094 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY YUCKMAN Chief Executive Officer 513-354-7785 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery Sports Medicine |
| Enumeration Date | 2020-06-22 |
| Last Update Date | 2025-07-23 |