| NPI | 1710126685 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: VA 0126000778) |
| Additional Taxonomies | 146N00000X Emergency Medical Technician, Basic (Licence: VA B061117703) |
| Enumeration Date | 2009-02-16 |
| Last Update Date | 2009-02-16 |