| NPI | 1780115279 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: CA A202180) |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: IL 125-070636) |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: IL 036155308) | |
| Enumeration Date | 2017-03-25 |
| Last Update Date | 2025-06-03 |