| NPI | 1841785623 |
|---|---|
| Other Name | MICAH STEPHEN DION |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2255A2300X Specialist/Technologist Athletic Trainer (Licence: MA 2929) |
| Additional Taxonomies | 204C00000X Neuromusculoskeletal Medicine, Sports Medicine (Licence: MA 2929) |
| Enumeration Date | 2018-06-25 |
| Last Update Date | 2018-06-25 |