NPI | 1790484566 |
---|---|
Other Name | ALEX WILLITS MCCASKEY |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: OH 003590) |
Enumeration Date | 2023-03-01 |
Last Update Date | 2023-03-01 |