| NPI | 1285620963 |
|---|---|
| Former Name | YOUNG SIK SHIN |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A68354) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: NV 10480) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: IN 01048959) | |
| Enumeration Date | 2005-09-27 |
| Last Update Date | 2007-07-08 |