| NPI | 1962123224 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELEANOR OSTBERG Billing/Credentialing Specialist 561-420-2881 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZE0600X Specialist/Technologist, Other, Electroneurodiagnostic |
| Enumeration Date | 2022-09-06 |
| Last Update Date | 2022-09-06 |