NPI | 1437367927 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: IL 036117656) |
Additional Taxonomies | 207ZP0105X Pathology Clinical Pathology/Laboratory Medicine (Licence: ND 15980) |
207ZB0001X Pathology Blood Banking & Transfusion Medicine (Licence: MI 4301086858) | |
Enumeration Date | 2007-05-18 |
Last Update Date | 2020-05-22 |