NPI | 1265732036 |
---|---|
Entity Type | Organization |
Authorized Contact | JOHN EDWARD DRAGOS Managing Member 815-408-0519 |
Organization Subpart ? | No |
Primary Taxonomy | 246ZE0600X Specialist/Technologist, Other, Electroneurodiagnostic |
Enumeration Date | 2010-10-27 |
Last Update Date | 2010-11-08 |