NPI | 1538839527 |
---|---|
Professional Name | ISAAC GOMEZ |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: KS 24-01457) |
Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: MO 2015023206) |
Enumeration Date | 2021-09-20 |
Last Update Date | 2024-10-09 |