NPI | 1083814511 |
---|---|
Former Name | SOO YEON OH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: WA MD60436260) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: TX N8804) |
Enumeration Date | 2007-07-23 |
Last Update Date | 2014-11-21 |