| NPI | 1417509746 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IN KWON PARK Md 253-212-3637 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207RI0200X Internal Medicine Infectious Disease |
| Enumeration Date | 2019-07-16 |
| Last Update Date | 2022-07-26 |