Mark Shelly, D.O. Valid NPI

Individual provider · Forensic Pathology Physician · Rockville, MD

NPI

1205808367

Type

Individual (Type 1)

Primary specialty

Forensic Pathology Physician (Pathology)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

207ZF0201X

License number

0102200835 (VA)

Sex

Male

Sole proprietor

No

Enumerated

2006-02-03

Last updated

2007-07-08