Ethan Paul Broder Valid NPI

Individual provider · Athletic Trainer · Coral Gables, FL

NPI

1831602184

Type

Individual (Type 1)

Primary specialty

Athletic Trainer (Specialist/Technologist)

Specialty group

Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy code

2255A2300X

Sex

Male

Sole proprietor

No

Enumerated

2017-11-08

Last updated

2017-11-08