| NPI | 1669628764 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: CA A152120) |
| Additional Taxonomies | 207ZN0500X Pathology Neuropathology (Licence: CA A152120) |
| 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: IL 125053987) | |
| Enumeration Date | 2008-08-08 |
| Last Update Date | 2018-03-17 |