| NPI | 1477703189 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: IL 036122363) |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: IL 125-048944) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: VA 0116021240) | |
| Enumeration Date | 2008-09-30 |
| Last Update Date | 2021-08-27 |