| NPI | 1417587171 |
|---|---|
| Professional Name | MATTHEW BENJAMIN TAYLOR |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: AL 2000037856) |
| Enumeration Date | 2020-01-22 |
| Last Update Date | 2020-01-22 |