Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RG0100X | Gastroenterologist | T0799 | TX |
NPI | 1043470628 |
---|---|
Provider Name | Dr. Jisun Hahn |
First Address | Bethesda, MD 20889-0001 |
Second Address | San Diego, CA 92134-1098 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/06/2008 |
Last Update Date | 03/11/2021 |