| NPI | 1619955986 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0101X Pathology Anatomic Pathology (Licence: IL 36075427) |
| Additional Taxonomies | 207ZP0101X Pathology Anatomic Pathology (Licence: IA 03039) |
| Enumeration Date | 2006-01-05 |
| Last Update Date | 2007-07-30 |