| NPI | 1134224645 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZD0900X Pathology, Dermatopathology (Licence: IL 036-123584) |
| Additional Taxonomies | 207ZH0000X Pathology, Hematology (Licence: IL 036-123584) |
| 207ZP0101X Pathology, Anatomic Pathology (Licence: IL 036-123584) | |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2009-07-22 |