| NPI | 1548372972 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: IL 036103492) |
| Additional Taxonomies | 174400000X Specialist (Licence: IL 036.103492) |
| 207ZH0000X Pathology Hematology (Licence: IL 036103492) | |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2021-09-22 |