| NPI | 1881910396 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: MO 2017013308) |
| Additional Taxonomies | 207ZC0006X Pathology, Clinical Pathology (Licence: LA MD.207945) |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: IL 036.14361) | |
| Enumeration Date | 2010-04-09 |
| Last Update Date | 2021-08-25 |