| NPI | 1134157597 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ND0900X Dermatology, Dermatopathology (Licence: AL 25031) |
| Additional Taxonomies | 207ND0900X Dermatology, Dermatopathology (Licence: FL ME100342) |
| 207ND0900X Dermatology, Dermatopathology (Licence: LA MD.201843) | |
| 207ND0900X Dermatology, Dermatopathology (Licence: NC 2008-00217) | |
| 207ND0900X Dermatology, Dermatopathology (Licence: VA 0101245015) | |
| 207ND0900X Dermatology, Dermatopathology (Licence: CO DR0050087) | |
| 207ND0900X Dermatology, Dermatopathology (Licence: MS 21330) | |
| 207ND0900X Dermatology, Dermatopathology (Licence: NJ 25MA08863300) | |
| 207ND0900X Dermatology, Dermatopathology (Licence: TX N2577) | |
| 207ND0900X Dermatology, Dermatopathology (Licence: AR E6005) | |
| 207ND0900X Dermatology, Dermatopathology (Licence: SC MD31313) | |
| 207ND0900X Dermatology, Dermatopathology (Licence: CA A110841) | |
| 207ND0900X Dermatology, Dermatopathology (Licence: TN 42796) | |
| 207ND0900X Dermatology, Dermatopathology (Licence: GA 060107) | |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2022-01-04 |