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 |