| NPI | 1508125907 |
|---|---|
| Other Name | JUAN CARLOS CARABALLO FONSECA |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CA A137119) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2012-05-07 |
| Last Update Date | 2022-01-28 |