| NPI | 1043529951 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 246ZE0600X Specialist/Technologist, Other, Electroneurodiagnostic (Licence: CNIM 1345)  | 
| Additional Taxonomies | 246ZE0500X Specialist/Technologist, Other, EEG (Licence: R.EEG T. 3419)  | 
| Enumeration Date | 2010-09-28 | 
| Last Update Date | 2010-09-28 |