NPI | 1215758800 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 224Y00000X Clinical Exercise Physiologist |
Additional Taxonomies | 146N00000X Emergency Medical Technician, Basic |
Enumeration Date | 2024-10-17 |
Last Update Date | 2024-10-17 |