| NPI | 1114212081 |
|---|---|
| Former Name | SOOK CHAN HOANG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: VA 0101262765) |
| Additional Taxonomies | 208600000X Surgery (Licence: MA 249232) |
| 208C00000X Colon & Rectal Surgery (Licence: RI LP03660) | |
| Enumeration Date | 2011-06-18 |
| Last Update Date | 2017-10-02 |