| 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 |