Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0200X | Critical Care Medicine | 37926 | OK |
NPI | 1073923702 |
---|---|
Provider Name | Tse-Shuen Ku |
First Address | Oklahoma City, OK 73112-4999 |
Second Address | Oklahoma City, OK 73112-4999 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/05/2014 |
Last Update Date | 03/08/2021 |