| 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 |