| NPI | 1356382576 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0101X Pathology, Anatomic Pathology (Licence: MN 66192) |
| Additional Taxonomies | 207ZP0101X Pathology, Anatomic Pathology (Licence: IL 036088958) |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2024-01-11 |