208200000X
Centerville, OH
Specialty
208200000X
Credential
MD
NPI
1447754403
9985 Dayton Lebanon Pike, Centerville, OH 45458
(937) 886-2980Confirm current license and practice information on the official CMS NPI registry.
View NPI RecordThis surgeon specializes in 208200000x procedures performed in an outpatient ambulatory surgical setting.
NUCC Taxonomy: 208200000X