| NPI | 1710714027 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 246ZE0500X Specialist/Technologist, Other EEG |
| Additional Taxonomies | 246ZE0600X Specialist/Technologist, Other Electroneurodiagnostic |
| Enumeration Date | 2024-09-19 |
| Last Update Date | 2024-09-19 |