| NPI | 1568519445 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZD0900X Pathology, Dermatopathology (Licence: AL 28031) |
| Additional Taxonomies | 207ND0900X Dermatology, Dermatopathology (Licence: NY 259293) |
| 207ND0900X Dermatology, Dermatopathology (Licence: MS 21494) | |
| 207ZD0900X Pathology, Dermatopathology (Licence: CO 50266) | |
| 207ZD0900X Pathology, Dermatopathology (Licence: SC 33420) | |
| 207ZD0900X Pathology, Dermatopathology (Licence: VA 0101248908) | |
| 207ZD0900X Pathology, Dermatopathology (Licence: TX TM00304) | |
| 207ZD0900X Pathology, Dermatopathology (Licence: NC 201100136) | |
| 207ZD0900X Pathology, Dermatopathology (Licence: TN 39747) | |
| 207ZD0900X Pathology, Dermatopathology (Licence: GA 65280) | |
| 207ZD0900X Pathology, Dermatopathology (Licence: LA MD202065) | |
| 207ND0900X Dermatology, Dermatopathology (Licence: FL ME109290) | |
| 207ND0900X Dermatology, Dermatopathology (Licence: AR E6949) | |
| 207ZD0900X Pathology, Dermatopathology (Licence: CA A117138) | |
| 207ZD0900X Pathology, Dermatopathology (Licence: NJ 25MA08898700) | |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2021-12-06 |