| NPI | 1891770517 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ND0900X Dermatology, Dermatopathology (Licence: PA MD029957E) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: PA MD029957E) |
| 207ND0900X Dermatology, Dermatopathology (Licence: OH 35.094158) | |
| 207ND0900X Dermatology, Dermatopathology (Licence: NJ 25MA04525200) | |
| 207ND0900X Dermatology, Dermatopathology (Licence: ME 016658) | |
| 207ND0900X Dermatology, Dermatopathology (Licence: CT 030390) | |
| 207ND0900X Dermatology, Dermatopathology (Licence: NY 166213) | |
| 207ND0900X Dermatology, Dermatopathology (Licence: MA 156056) | |
| 207ND0900X Dermatology, Dermatopathology (Licence: UT 57861751205) | |
| 207ND0900X Dermatology, Dermatopathology (Licence: DE C10007641) | |
| 207ND0900X Dermatology, Dermatopathology (Licence: FL ME57881) | |
| 207ND0900X Dermatology, Dermatopathology (Licence: MD D0062646) | |
| Enumeration Date | 2005-12-15 |
| Last Update Date | 2015-07-01 |