| NPI | 1023174752 |
|---|---|
| Former Name | SAMUEL PARK |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: CA A75650) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA A75650) |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2012-12-30 |