| NPI | 1861955817 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 246ZE0600X Specialist/Technologist, Other, Electroneurodiagnostic (Licence: IL 7298) |
| Additional Taxonomies | 2472E0500X Technician, Other, EEG (Licence: IL 7298) |
| Enumeration Date | 2019-04-08 |
| Last Update Date | 2019-04-08 |