| NPI | 1356567044 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: IL 036.111130) |
| Additional Taxonomies | 207ZD0900X Pathology, Dermatopathology (Licence: PA OS014665) |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: PA OS014665) | |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2012-08-13 |