| NPI | 1508813528 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS A. DEASCENTIS Executive Director 330-286-5330 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2006-05-27 |
| Last Update Date | 2020-06-22 |