| NPI | 1548356678 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZC0500X Pathology, Cytopathology (Licence: IL 036044990) |
| Additional Taxonomies | 207ZH0000X Pathology, Hematology (Licence: IL 036044990) |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: IL 036044990) | |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2012-05-09 |