NPI | 1265484026 |
---|---|
Former Name | HEE DON PARK |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: MD D0043713) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D0043713) |
Enumeration Date | 2006-05-17 |
Last Update Date | 2013-01-03 |