| NPI | 1619329554 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEE COBB Member 415-939-1934 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZE0600X Specialist/Technologist, Other Electroneurodiagnostic |
| Enumeration Date | 2016-07-04 |
| Last Update Date | 2016-07-04 |