| NPI | 1578322582 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Additional Taxonomies | 246RM2200X Technician, Pathology, Medical Laboratory (Licence: IL 74552188) |
| 246RM2200X Technician, Pathology, Medical Laboratory | |
| Enumeration Date | 2024-03-14 |
| Last Update Date | 2024-04-01 |