| NPI | 1649348087 |
|---|---|
| Former Name | CHUNG H PARK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD D56316) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35.094595) |
| Enumeration Date | 2006-12-02 |
| Last Update Date | 2021-06-30 |