| NPI | 1750410320 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MITCHELL EMANUEL GRUPP Administrative Director 410-838-4717 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZE0600X Specialist/Technologist, Other Electroneurodiagnostic |
| Enumeration Date | 2007-03-02 |
| Last Update Date | 2010-02-03 |