| NPI | 1306002449 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: IL 04213642) |
| Additional Taxonomies | 246QC1000X Specialist/Technologist, Pathology Chemistry (Licence: IL 04213642) |
| Enumeration Date | 2008-07-29 |
| Last Update Date | 2016-03-07 |