| NPI | 1134494784 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0101X Pathology Anatomic Pathology (Licence: TN MD48823) |
| Additional Taxonomies | 207ZP0101X Pathology Anatomic Pathology (Licence: IL 036.121218) |
| Enumeration Date | 2012-03-15 |
| Last Update Date | 2024-03-12 |