| NPI | 1861813842 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATE HOLLANDER Manager 561-620-3600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZE0600X Specialist/Technologist, Other, Electroneurodiagnostic |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 264081) |
| Enumeration Date | 2013-12-18 |
| Last Update Date | 2013-12-18 |