| NPI | 1710943220 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: IL 036-060672) |
| Additional Taxonomies | 174400000X Specialist (Licence: IL 036060672) |
| 207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine (Licence: IL 036-060672) | |
| Enumeration Date | 2006-04-24 |
| Last Update Date | 2019-08-21 |