| NPI | 1457929580 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICK LUEKENGA CEO 855-864-4322 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204R00000X Electrodiagnostic Medicine |
| Additional Taxonomies | 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology |
| Enumeration Date | 2021-06-15 |
| Last Update Date | 2022-12-29 |