NPI | 1023758000 |
---|---|
Former Name | HEE JOON BAE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MN 32710) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2022-03-29 |
Last Update Date | 2023-10-25 |