| NPI | 1861665945 |
|---|---|
| Other Name | JUAN DIEGO BALTODANO PARRA |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: VA 0101243367) |
| Enumeration Date | 2008-04-09 |
| Last Update Date | 2013-04-25 |