| NPI | 1760470306 |
|---|---|
| Professional Name | IVAN D. LOPEZ |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ME108228) |
| Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: WV 24227) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: WV 24227) | |
| Enumeration Date | 2005-10-07 |
| Last Update Date | 2015-07-29 |