| NPI | 1447464078 |
|---|---|
| Former Name | SUNG HUN PARK |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X (Licence: MN 53960) |
| Additional Taxonomies | 2085R0001X (Licence: WI 60917) |
| 207R00000X Internal Medicine (Licence: MI 4301088365) | |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2022-11-09 |