| NPI | 1982337358 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 242T00000X Perfusionist (Licence: IL 214000415) |
| Additional Taxonomies | 242T00000X Perfusionist (Licence: WI 214) |
| 242T00000X Perfusionist (Licence: TX FPF02000199) | |
| 242T00000X Perfusionist (Licence: PA PRF000451) | |
| 242T00000X Perfusionist (Licence: MO 2019027175) | |
| Enumeration Date | 2022-07-05 |
| Last Update Date | 2022-07-05 |