NPI | 1801434329 |
---|---|
Entity Type | Organization |
Authorized Contact | BRANDON HOLBERT Owner 228-209-3371 |
Organization Subpart ? | No |
Primary Taxonomy | 293D00000X Physiological Laboratory |
Additional Taxonomies | 204R00000X Electrodiagnostic Medicine |
246ZE0500X Specialist/Technologist, Other, EEG | |
Enumeration Date | 2019-12-16 |
Last Update Date | 2019-12-16 |