NPI | 1871031518 |
---|---|
Other Name | ANDREW PARK |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95023379) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: GA RN243386) |
Enumeration Date | 2017-02-02 |
Last Update Date | 2023-05-09 |