Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2086S0129X | Vascular Surgeon | 125059828 | IL |
NPI | 1073839833 |
---|---|
Provider Name | Dr. Dustin Y Yoon |
First Address | Germantown, MD 20876-6419 |
Second Address | Germantown, MD 20876-6419 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/04/2010 |
Last Update Date | 27/01/2017 |