NPI | 1174189906 |
---|---|
Former Name | JEE WOONG HONG |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NC 11955) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NJ 22DI02804100) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2019-05-16 |
Last Update Date | 2024-08-15 |