| NPI | 1063806032 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: TN 63164) |
| Additional Taxonomies | 207ZC0500X Pathology, Cytopathology (Licence: TN 63164) |
| 207ZC0500X Pathology, Cytopathology (Licence: IL 036144869) | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: IL 036144896) | |
| Enumeration Date | 2015-03-26 |
| Last Update Date | 2022-03-31 |