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 |