| NPI | 1174641328 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207ZI0100X Pathology, Immunopathology (Licence: IL 036-077534) |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: IL 036-077534) |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2007-07-08 |