| NPI | 1063043503 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IGOR RAKOVICHIK Co Owner 972-365-9842 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZE0600X Specialist/Technologist, Other, Electroneurodiagnostic |
| Enumeration Date | 2020-02-03 |
| Last Update Date | 2020-02-03 |