| NPI | 1639228901 |
|---|---|
| Former Name | EMILIO ENRIQUE LOPEZ |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics Adolescent Medicine (Licence: FL ME56287) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: FL ME56287) |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2020-01-29 |