| NPI | 1801312129 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: IL 036145093) |
| Additional Taxonomies | 207ZH0000X Pathology, Hematology (Licence: MO 2014020068) |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: MO 2014020068) | |
| Enumeration Date | 2017-08-17 |
| Last Update Date | 2018-06-28 |