| NPI | 1629450804 |
|---|---|
| Professional Name | DALNAM PARK |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: AZ R75295) |
| Enumeration Date | 2015-06-23 |
| Last Update Date | 2015-06-23 |