| NPI | 1699168567 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THIERRY CHANEY CEO 703-371-4492 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology |
| Additional Taxonomies | 246ZE0600X Specialist/Technologist, Other, Electroneurodiagnostic |
| Enumeration Date | 2015-03-16 |
| Last Update Date | 2021-01-11 |