| NPI | 1043730559 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY DELONG Npi Representative 210-598-2800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology |
| Additional Taxonomies | 246ZE0600X Specialist/Technologist, Other, Electroneurodiagnostic |
| Enumeration Date | 2017-06-26 |
| Last Update Date | 2017-11-17 |