| NPI | 1649393760 |
|---|---|
| Former Name | KWONG MIN KU |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: CA A77679) |
| Additional Taxonomies | 208600000X Surgery (Licence: CA A77679) |
| 208600000X Surgery (Licence: UT 5941363-1205) | |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2020-02-21 |