| NPI | 1891573572 |
|---|---|
| Former Name | BRIAN ANTHONY SIGMAN |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: WV AT0001130362) |
| Enumeration Date | 2023-09-15 |
| Last Update Date | 2023-09-15 |