| NPI | 1528351509 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 246ZE0600X Specialist/Technologist, Other Electroneurodiagnostic (Licence: GA 1220) |
| Additional Taxonomies | 246ZE0500X Specialist/Technologist, Other EEG (Licence: GA 1220) |
| 2472E0500X Technician, Other EEG (Licence: GA 1220) | |
| Enumeration Date | 2011-05-24 |
| Last Update Date | 2011-05-24 |