| NPI | 1548201825 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: IL 036112263) |
| Additional Taxonomies | 207ZP0101X Pathology, Anatomic Pathology (Licence: IL 036112263) |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: NC 2010-00961) | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: MN 50019) | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: SC 32665) | |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2018-07-18 |