| NPI | 1063831451 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: TX S4113) |
| Additional Taxonomies | 207ZP0101X Pathology Anatomic Pathology (Licence: IL 036145465) |
| Enumeration Date | 2014-04-14 |
| Last Update Date | 2023-09-19 |