NPI | 1720244502 |
---|---|
Former Name | KATHERINE KANG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: FL ME 121033) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 60763-20) |
208M00000X Hospitalist (Licence: WI 60763-20) | |
Enumeration Date | 2008-07-31 |
Last Update Date | 2015-04-06 |