| NPI | 1720269228 |
|---|---|
| Professional Name | RAFAEL CARBALLO |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: FL 11001321) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 9199568) |
| Enumeration Date | 2007-11-27 |
| Last Update Date | 2020-03-10 |