NPI | 1730895368 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 242T00000X Perfusionist (Licence: NE 39) |
Additional Taxonomies | 242T00000X Perfusionist (Licence: MO 2015011939) |
Enumeration Date | 2023-01-26 |
Last Update Date | 2023-01-26 |