| NPI | 1295914679 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IN YOUNG PARK C.E.O. 276-964-4001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine Nephrology (Licence: VA 0101029175) |
| Enumeration Date | 2007-11-01 |
| Last Update Date | 2007-11-01 |