| NPI | 1154808210 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN P DEBIPARSHAD Sole Member 561-693-8792 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204R00000X Electrodiagnostic Medicine (Licence: NV 15997) |
| Enumeration Date | 2018-07-22 |
| Last Update Date | 2018-07-22 |