| NPI | 1679980999 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: IL 036171211) |
| Additional Taxonomies | 207ZP0101X Pathology Anatomic Pathology (Licence: MA 273775) |
| Enumeration Date | 2014-07-18 |
| Last Update Date | 2024-09-13 |