Individual
DR. JAIME SOU ROSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
A 121193
CA
208000000X
Pediatrics Physician
Primary
A 121193
CA
Other
Enumeration date
07/09/2012
Last updated
11/25/2013
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