NPI | 1477957850 |
---|---|
Other Name | JUNGHUN JI |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: OR D10382) |
Additional Taxonomies | 122300000X Dentist (Licence: CA 64039) |
122300000X Dentist (Licence: NV 6580) | |
Enumeration Date | 2014-10-14 |
Last Update Date | 2018-09-12 |