| NPI | 1639348113 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALFRED J MARTELLO Authorised Representative 330-656-5215 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2008-02-28 |
| Last Update Date | 2019-03-15 |