NPI | 1356908354 |
---|---|
Former Name | SEONG WOO YANG |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: IL 036169798) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2019-05-24 |
Last Update Date | 2024-08-12 |