| NPI | 1528403961 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: WI 69697) |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: IL 036.132927) |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: NE 28192) | |
| Enumeration Date | 2013-04-29 |
| Last Update Date | 2018-08-09 |