| NPI | 1376905620 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207ZN0500X Pathology, Neuropathology (Licence: IL 036155214) |
| Additional Taxonomies | 207ZP0101X Pathology, Anatomic Pathology (Licence: IL 125.072322) |
| Enumeration Date | 2016-03-25 |
| Last Update Date | 2023-11-13 |