| NPI | 1760856231 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 246ZE0500X Specialist/Technologist, Other, EEG (Licence: #3283: R. EEG T.) |
| Additional Taxonomies | 246Z00000X Specialist/Technologist, Other (Licence: #847: R. EP T.) |
| 246Z00000X Specialist/Technologist, Other (Licence: #3726: RPSGT) | |
| 246ZE0600X Specialist/Technologist, Other, Electroneurodiagnostic | |
| Enumeration Date | 2015-11-21 |
| Last Update Date | 2017-02-28 |