NPI | 1952820912 |
---|---|
Professional Name | MALCOLM A JOHNSTON |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2017-09-11 |
Last Update Date | 2017-09-11 |