| NPI | 1962844928 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0101X Pathology Anatomic Pathology (Licence: IL 125063217) |
| Additional Taxonomies | 207ZC0006X Pathology Clinical Pathology (Licence: IL 125063217) |
| Enumeration Date | 2013-07-18 |
| Last Update Date | 2015-05-20 |