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 | 2024-06-19 |