TAE KYU UHM

BOSTON, MA
NPI1316500457
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: MA  1015086)
Additional Taxonomies2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: PA  MT217450)
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: PA  MD475135)
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2019-04-15
Last Update Date2024-06-03
Business Address
TAE KYU UHM MD
1153 CENTRE ST
BOSTON, MA 02130-3446
Phone number: 215-955-8420
Mailing Address
TAE KYU UHM MD
1153 CENTER ST
BOSTON, MA 02130
Phone number: