NPI | 1982491916 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHAEL LICHTMAN Member 602-292-1455 |
Organization Subpart ? | No |
Primary Taxonomy | 246ZE0600X Specialist/Technologist, Other, Electroneurodiagnostic |
Enumeration Date | 2025-04-23 |
Last Update Date | 2025-04-30 |