| NPI | 1720067812 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: ME MD27735) |
| Additional Taxonomies | 207ZH0000X Pathology, Hematology (Licence: IL 36088923) |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: NH 25119) | |
| Enumeration Date | 2006-01-17 |
| Last Update Date | 2024-02-06 |