NPI | 1528054855 |
---|---|
Professional Name | PATRICIA I CEBALLOS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: AZ 62481) |
Additional Taxonomies | 207NS0135X Dermatology, Procedural Dermatology (Licence: AZ 62481) |
207ZD0900X Pathology, Dermatopathology (Licence: AZ 62481) | |
207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: AZ 62481) | |
Enumeration Date | 2005-09-22 |
Last Update Date | 2024-08-29 |