| NPI | 1417375635 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0101X Pathology Anatomic Pathology (Licence: IL 036154195) |
| Additional Taxonomies | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: IL 125066003) |
| Enumeration Date | 2014-04-03 |
| Last Update Date | 2020-12-01 |