| NPI | 1730394792 |
|---|---|
| Former Name | DIONISIO TREJO |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: AZ 54679) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 268408) |
| 208000000X Pediatrics (Licence: CT 52974) | |
| Enumeration Date | 2007-05-13 |
| Last Update Date | 2019-01-16 |