NPI | 1487622262 |
---|---|
Former Name | CAROL SOO-JUNG PAK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: VA VA0101239515) |
Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: VA 0101239515) |
Enumeration Date | 2006-03-09 |
Last Update Date | 2021-06-01 |