| NPI | 1942430921 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: TN 64458) |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: IL 036128474) |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: MS 29629) | |
| Enumeration Date | 2009-07-23 |
| Last Update Date | 2025-04-23 |