| NPI | 1013143205 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: IL 036129083) |
| Additional Taxonomies | 207ZP0101X Pathology Anatomic Pathology (Licence: IL 125053913) |
| 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: IL 125053913) | |
| Enumeration Date | 2009-06-02 |
| Last Update Date | 2021-04-22 |