| NPI | 1295020477 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: OR MD196662) |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: MA L-247529) |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: IL 036.140503) | |
| Enumeration Date | 2011-06-15 |
| Last Update Date | 2020-03-03 |