| NPI | 1881999654 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EUGENIA ELISSEEV CEO 210-878-7372 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: TX P6398) |
| Additional Taxonomies | 246ZE0600X Specialist/Technologist, Other, Electroneurodiagnostic (Licence: TX 942) |
| Enumeration Date | 2011-01-25 |
| Last Update Date | 2014-11-18 |