| NPI | 1427270602 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: IL 036-117115) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: IL 019-020086) |
| 207ZC0500X Pathology, Cytopathology (Licence: IL 036-117115) | |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2010-04-28 |