| NPI | 1518151034 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HENRY C GOODMAN Owner 606-329-8711 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZE0600X Specialist/Technologist, Other, Electroneurodiagnostic (Licence: KY 23890) |
| Enumeration Date | 2007-08-28 |
| Last Update Date | 2007-08-28 |