| NPI | 1265945588 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LIZETTE MORIN Mdms Npi Compliance Officer 210-598-2801 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0600X |
| Additional Taxonomies | 204R00000X Electrodiagnostic Medicine |
| 2084N0400X Psychiatry & Neurology, Neurology | |
| 246ZE0500X Specialist/Technologist, Other, EEG | |
| Enumeration Date | 2017-11-08 |
| Last Update Date | 2017-11-08 |