| NPI | 1346312089 |
|---|---|
| Other Name | JONGCHUL RANDOLPH BAK |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MA 230693) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WA MD00027729) |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2010-12-01 |