| NPI | 1215220413 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: IL 036.151095) |
| Additional Taxonomies | 207ZH0000X Pathology Hematology (Licence: IL 036.151095) |
| Enumeration Date | 2011-05-20 |
| Last Update Date | 2020-02-05 |