NPI | 1558248708 |
---|---|
Entity Type | Organization |
Authorized Contact | ANGELLE C STAHL Credentials 225-937-8230 |
Organization Subpart ? | No |
Primary Taxonomy | 246ZE0600X Specialist/Technologist, Other, Electroneurodiagnostic |
Enumeration Date | 2025-08-19 |
Last Update Date | 2025-08-19 |