NPI | 1598247272 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2255A2300X Specialist/Technologist Athletic Trainer |
Additional Taxonomies | 2255A2300X Specialist/Technologist Athletic Trainer |
Enumeration Date | 2018-08-30 |
Last Update Date | 2022-10-04 |