NPI | 1184756082 |
---|---|
Professional Name | JAY WON PARK |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: CA C56214) |
Additional Taxonomies | 208000000X Pediatrics (Licence: TX G9781) |
Enumeration Date | 2007-03-09 |
Last Update Date | 2017-02-07 |