| NPI | 1053393108 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: MO 35076) |
| Additional Taxonomies | 207ZP0104X Pathology, Chemical Pathology (Licence: MO 35076) |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: IL 036-118308) | |
| 207ZP0104X Pathology, Chemical Pathology (Licence: IL 036-118308) | |
| Enumeration Date | 2005-11-15 |
| Last Update Date | 2007-08-07 |