| NPI | 1063564698 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MITCHELL EMANUEL GRUPP Administrative Director 410-838-4717 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZE0600X Specialist/Technologist, Other, Electroneurodiagnostic |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2010-01-29 |