| NPI | 1154818466 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN WIGGINS Member 469-440-8841 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZE0600X Specialist/Technologist, Other, Electroneurodiagnostic |
| Enumeration Date | 2018-04-23 |
| Last Update Date | 2020-09-04 |