| NPI | 1174512735 |
|---|---|
| Professional Name | H STEPHEN PARK |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CT 043254) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MA 223132) |
| 207Q00000X Family Medicine (Licence: LA 200492) | |
| Enumeration Date | 2005-10-17 |
| Last Update Date | 2022-03-31 |