NPI | 1336599208 |
---|---|
Other Name | TIM SUPAKORNDEJ |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: WA MD61047461) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2016018207) |
Enumeration Date | 2016-06-21 |
Last Update Date | 2020-09-14 |