| NPI | 1366324014 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LM PARTRIDGE Member 145-481-9432 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204R00000X Electrodiagnostic Medicine |
| Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care |
| Enumeration Date | 2025-07-23 |
| Last Update Date | 2025-07-23 |