| NPI | 1891766499 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: IL 036081859) |
| Additional Taxonomies | 207ZC0500X Pathology, Cytopathology (Licence: IL 036081859) |
| Enumeration Date | 2006-01-31 |
| Last Update Date | 2024-01-22 |