| NPI | 1215468186 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine (Licence: MN 68841) |
| Additional Taxonomies | 207ZC0006X Pathology, Clinical Pathology (Licence: ND 19429) |
| 207ZP0101X Pathology, Anatomic Pathology (Licence: MN 68841) | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: IL 125070246) | |
| Enumeration Date | 2017-03-23 |
| Last Update Date | 2023-11-15 |