NPI | 1770842460 |
---|---|
Former Name | JUNG WOOK KANG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 01072730A) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: KY 46091) |
Enumeration Date | 2012-05-15 |
Last Update Date | 2018-11-09 |