NPI | 1992248116 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2255A2300X Specialist/Technologist Athletic Trainer (Licence: MI 2601002311) |
Additional Taxonomies | 2255A2300X Specialist/Technologist Athletic Trainer |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2016-11-19 |
Last Update Date | 2021-02-24 |