| NPI | 1811418411 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZH0000X Pathology Hematology (Licence: IL 036152687) |
| Additional Taxonomies | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: IL 125071304) |
| Enumeration Date | 2017-07-05 |
| Last Update Date | 2021-05-20 |