| NPI | 1932114741 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: KS 0436540) |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: MO 2013018617) |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: IL 036093225) | |
| Enumeration Date | 2006-07-30 |
| Last Update Date | 2022-06-23 |