| NPI | 1699414474 |
|---|---|
| Other Name | PAUL KWON |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: DC PA200001511) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2022-06-01 |
| Last Update Date | 2022-08-05 |