| NPI | 1790747517 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine (Licence: NC 2015-01037) |
| Additional Taxonomies | 207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine (Licence: IL 036107427) |
| Enumeration Date | 2006-04-05 |
| Last Update Date | 2019-12-18 |