| NPI | 1386068153 |
|---|---|
| Professional Name | INNERVATE NEUROPHYSIOLOGY |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 246ZE0600X Specialist/Technologist, Other, Electroneurodiagnostic |
| Additional Taxonomies | 246ZS0410X Specialist/Technologist, Other, Surgical Technologist |
| 246ZE0500X Specialist/Technologist, Other, EEG | |
| Enumeration Date | 2014-02-13 |
| Last Update Date | 2017-01-28 |