| NPI | 1750698064 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 242T00000X Perfusionist (Licence: NE 16) |
| Additional Taxonomies | 242T00000X Perfusionist (Licence: IL 214.000192) |
| Enumeration Date | 2010-09-08 |
| Last Update Date | 2010-09-08 |