NPI | 1487032009 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 246ZE0600X Specialist/Technologist, Other, Electroneurodiagnostic |
Additional Taxonomies | 2472E0500X Technician, Other, EEG |
Enumeration Date | 2015-05-14 |
Last Update Date | 2015-07-23 |