Individual
AOFEI LI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
350 W 11TH ST RM 4083, INDIANAPOLIS, IN 46202-4108
(317) 491-6350
Mailing address
350 W 11TH ST RM 4083, INDIANAPOLIS, IN 46202-4108
Taxonomy
Speciality
Code
Description
License number
State
207ZD0900X
Dermatopathology (Pathology) Physician
01090184A
IN
207ZD0900X
Dermatopathology (Pathology) Physician
Primary
4301510716
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/12/2019
Last updated
02/12/2025
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