| NPI | 1598104721 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: IL 125063336) |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: MN 62295) |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: MO 2017014208) | |
| Enumeration Date | 2013-06-20 |
| Last Update Date | 2022-07-21 |