| NPI | 1336554799 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: IL 125065485) |
| Additional Taxonomies | 207ZH0000X Pathology, Hematology (Licence: IL 036-145505) |
| Enumeration Date | 2014-06-24 |
| Last Update Date | 2021-04-23 |