NPI | 1780078295 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 246ZE0600X Specialist/Technologist, Other, Electroneurodiagnostic |
Additional Taxonomies | 246ZE0500X Specialist/Technologist, Other, EEG |
Enumeration Date | 2015-03-23 |
Last Update Date | 2015-08-14 |