| NPI | 1992115992 |
|---|---|
| Former Name | NICHOLAS HOULNE-GELLER |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: MA 2291) |
| Enumeration Date | 2014-04-30 |
| Last Update Date | 2014-04-30 |