NPI | 1336697598 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 246ZE0600X Specialist/Technologist, Other Electroneurodiagnostic (Licence: NY 2874) |
Additional Taxonomies | 246ZE0500X Specialist/Technologist, Other EEG |
2472E0500X Technician, Other EEG | |
Enumeration Date | 2016-09-16 |
Last Update Date | 2016-09-16 |