Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 111NN0400X | Neurology | 038010949 | IL |
NPI | 1730347493 |
---|---|
Provider Name | Sang Hun Han |
First Address | Woodland Park, NJ 07424-2663 |
Second Address | Woodland Park, NJ 07424-2663 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/05/2008 |
Last Update Date | 06/07/2020 |