| NPI | 1568447233 |
|---|---|
| Other Name | IVAN GILBERTO MELENDES BAEZ |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX H5188) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX H5188) |
| Enumeration Date | 2005-12-14 |
| Last Update Date | 2023-09-21 |