| NPI | 1952780132 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABDUL Q SHHAHID Anesthesiologist/Pain Management 937-280-4970 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 261Q00000X Clinic/Center (Licence: OH 50.004200) |
| Enumeration Date | 2015-05-21 |
| Last Update Date | 2025-03-24 |