| NPI | 1568596377 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 246ZE0600X Specialist/Technologist, Other, Electroneurodiagnostic (Licence: TX 224) |
| Additional Taxonomies | 246ZE0500X Specialist/Technologist, Other, EEG (Licence: TX 804210478) |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2023-07-17 |