| NPI | 1417183633 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: FL ME128023) |
| Additional Taxonomies | 207ZB0001X Pathology, Blood Banking & Transfusion Medicine (Licence: IL 036130363) |
| 207ZB0001X Pathology, Blood Banking & Transfusion Medicine (Licence: FL ME128023) | |
| 207ZB0001X Pathology, Blood Banking & Transfusion Medicine (Licence: GA 81350) | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: IL 036130363) | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: GA 81350) | |
| Enumeration Date | 2009-06-02 |
| Last Update Date | 2025-03-22 |