| NPI | 1922054196 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207ZP0213X Pathology, Pediatric Pathology (Licence: MO 108189) |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: MO 108189) |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: IL 036103867) | |
| 207ZP0213X Pathology, Pediatric Pathology (Licence: IL 036103867) | |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2021-02-23 |