| NPI | 1508949728 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZN0500X Pathology Neuropathology (Licence: IL 036-107364) |
| Additional Taxonomies | 207ZP0101X Pathology Anatomic Pathology (Licence: IL 036-107364) |
| 207ZP0105X Pathology Clinical Pathology/Laboratory Medicine (Licence: IL 036-107364) | |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2021-05-04 |