NPI | 1629077318 |
---|---|
Other Name | LUIS E SCACCABARROZZI |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208000000X Pediatrics (Licence: FL ME90127) |
Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2006001810) |
Enumeration Date | 2005-07-15 |
Last Update Date | 2021-11-03 |