NPI | 1285081927 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 246ZE0600X Specialist/Technologist, Other, Electroneurodiagnostic (Licence: NJ 3394NJ) |
Additional Taxonomies | 174400000X Specialist (Licence: NJ 3394NJ) |
246ZS0410X Specialist/Technologist, Other, Surgical Technologist | |
Enumeration Date | 2016-05-23 |
Last Update Date | 2016-05-23 |