| NPI | 1609592856 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 242T00000X Perfusionist |
| Additional Taxonomies | 246QB0000X Spec/Tech, Pathology, Blood Banking |
| 246X00000X Spec/Tech, Cardiovascular | |
| 247200000X | |
| Enumeration Date | 2022-10-18 |
| Last Update Date | 2022-10-21 |