| NPI | 1073174140 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZN0500X Pathology, Neuropathology (Licence: IL 036.158663) |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: MO 2019022857) |
| Enumeration Date | 2019-06-27 |
| Last Update Date | 2024-03-28 |