| NPI | 1558456319 |
|---|---|
| Other Name | JOHN TAE SUNG MOON |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: OR MD156549) |
| Additional Taxonomies | 208600000X Surgery (Licence: KS 0440321) |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2024-08-29 |