| NPI | 1427065127 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: FL ME106628) |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: IL 036108690) |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: MO 2001018687) | |
| Enumeration Date | 2006-08-02 |
| Last Update Date | 2011-08-08 |