| NPI | 1821097361 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW R BROWN Treasure/Signatory 614-853-2389 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: OH 34005581B) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered |
| 207L00000X Anesthesiology | |
| Enumeration Date | 2005-07-18 |
| Last Update Date | 2008-08-18 |