| NPI | 1124346234 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 246ZE0600X Specialist/Technologist, Other, Electroneurodiagnostic (Licence: 2300 CNIM) |
| Additional Taxonomies | 246ZE0500X Specialist/Technologist, Other, EEG (Licence: 2300 CNIM) |
| Enumeration Date | 2010-05-13 |
| Last Update Date | 2015-05-14 |