| NPI | 1336989334 |
|---|---|
| Other Name | MIK CARL HONOMICHL |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer |
| Enumeration Date | 2024-05-28 |
| Last Update Date | 2024-05-28 |