| NPI | 1497247118 |
|---|---|
| Other Name | KEVIN PARK |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: UT 12213251-1205) |
| Additional Taxonomies | 2081P0004X Physical Medicine & Rehabilitation Spinal Cord Injury Medicine (Licence: UT 12213251-1205) |
| Enumeration Date | 2018-05-30 |
| Last Update Date | 2022-08-28 |