Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2082S0105X | Plastic Hand Surgeon | A85169 | CA |
NPI | 1366529349 |
---|---|
Provider Name | Dr. Hongshik Han |
First Address | Fresno, CA 93720-8009 |
Second Address | Fresno, CA 93720-8009 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/11/2006 |
Last Update Date | 10/09/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
I14867 | (02) |