| NPI | 1114223351 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: IL 036.124312) |
| Additional Taxonomies | 207ZD0900X Pathology, Dermatopathology (Licence: IL 036.124312) |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: IN 01069290A) | |
| Enumeration Date | 2011-02-06 |
| Last Update Date | 2026-04-09 |