| NPI | 1861808420 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 242T00000X Perfusionist (Licence: LA Pef.200133) |
| Additional Taxonomies | 227900000X Respiratory Therapist, Registered (Licence: LA RRT.L01678) |
| Enumeration Date | 2014-07-03 |
| Last Update Date | 2014-07-03 |