| 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 |