| NPI | 1366739468 |
|---|---|
| Professional Name | IVAN J GAMBOA |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: LA 301598) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125059415) |
| Enumeration Date | 2011-07-09 |
| Last Update Date | 2022-06-30 |