| NPI | 1831577139 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW L. FORDYCE Managing Partner 619-458-6306 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZE0600X Specialist/Technologist, Other, Electroneurodiagnostic |
| Enumeration Date | 2015-05-07 |
| Last Update Date | 2018-10-10 |