| 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 |