| NPI | 1164646238 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ND0900X Dermatology, Dermatopathology (Licence: AL 25063) |
| Additional Taxonomies | 207ND0900X Dermatology, Dermatopathology (Licence: FL ME100324) |
| 207ND0900X Dermatology, Dermatopathology (Licence: TX M4422) | |
| 207ND0900X Dermatology, Dermatopathology (Licence: GA 060139) | |
| 207ND0900X Dermatology, Dermatopathology (Licence: TN 42811) | |
| 207ND0900X Dermatology, Dermatopathology (Licence: CO 49736) | |
| 207ND0900X Dermatology, Dermatopathology (Licence: NJ 25MA08890200) | |
| 207ND0900X Dermatology, Dermatopathology (Licence: NY 2592211) | |
| 207ND0900X Dermatology, Dermatopathology (Licence: CA A109974) | |
| 207ND0900X Dermatology, Dermatopathology (Licence: VA 0101245568) | |
| 207ND0900X Dermatology, Dermatopathology (Licence: SC 31499) | |
| 207ND0900X Dermatology, Dermatopathology (Licence: AR E5954) | |
| 207ND0900X Dermatology, Dermatopathology (Licence: NC 200800367) | |
| 207ND0900X Dermatology, Dermatopathology (Licence: MS 21341) | |
| 207ND0900X Dermatology, Dermatopathology (Licence: LA MD.201881) | |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2021-12-06 |