| NPI | 1821202748 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MITCHELL EMANUEL GRUPP Administrative Director 410-322-8105 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZE0600X Specialist/Technologist, Other, Electroneurodiagnostic |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2020-08-22 |