Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2080P0202X | Pediatric Cardiologist | 1015 | CO |
Y | 2080P0203X | Pediatric Critical Care Doctor | 1015 | CO |
NPI | 1144422304 |
---|---|
Provider Name | Eduardo M. Dos Santos |
First Address | Aurora, CO 80045-5701 |
Second Address | Aurora, CO 80045-7106 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/06/2007 |
Last Update Date | 25/02/2019 |