| NPI | 1659371573 |
|---|---|
| Other Name | JOAN PARK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036099835) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AZ 30548) |
| Enumeration Date | 2005-07-21 |
| Last Update Date | 2021-04-06 |