| NPI | 1114552627 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DUSTIN RAY Management 888-544-3339 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZE0600X Specialist/Technologist, Other, Electroneurodiagnostic |
| Enumeration Date | 2020-03-04 |
| Last Update Date | 2020-03-04 |