| NPI | 1184100984 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 247ZC0005X Pathology, Clinical Laboratory Director, Non-physician |
| Additional Taxonomies | 246RP1900X Technician, Pathology, Phlebotomy (Licence: IL amca-4709) |
| Enumeration Date | 2018-07-14 |
| Last Update Date | 2019-01-20 |