| NPI | 1457420408 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: MO 109552) |
| Additional Taxonomies | 207ZH0000X Pathology, Hematology (Licence: MO 109552) |
| 207ZH0000X Pathology, Hematology (Licence: IL 036150171) | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: IL 036150171) | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: ND 11381) | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: NY 273456) | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: PA MD450705) | |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2021-02-05 |