NPI | 1972742120 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 246ZE0600X Specialist/Technologist, Other, Electroneurodiagnostic (Licence: IL 4505) |
Additional Taxonomies | 246ZE0500X Specialist/Technologist, Other, EEG (Licence: IL 4505) |
Enumeration Date | 2009-02-11 |
Last Update Date | 2018-09-12 |