| NPI | 1053995480 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHAMMED FARAZ KHAN Co Manager 551-243-2886 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZE0600X Specialist/Technologist, Other, Electroneurodiagnostic |
| Enumeration Date | 2021-05-11 |
| Last Update Date | 2024-05-15 |