| NPI | 1447464078 | 
|---|---|
| Former Name | SUNG HUN PARK | 
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 2085R0001X (Licence: MN 53960) | 
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301088365) | 
| 2085R0001X (Licence: WI 60917) | |
| Enumeration Date | 2007-05-10 | 
| Last Update Date | 2025-08-05 |