| Doctor Name: | DR. HAN PARK |
| NPI Number: | 1144305632 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 215206 |
| Business Practice Address: | 1301 Punchbowl Street The Queen's Medical Center - Emergency Dept. Honolulu, HI - 968135212 |
| Business Phone Number: | 8085474311 |
| Business Fax Number: | |
| Mailing Address: | 770 Kapiolani Blvd, Suite 705 HONOLULU |
| State: | HI |
| Postal Code: | 968135212 |
| Phone Number: | 8085978791 |
| Fax Number: | 8085978781 |
| NPI Enumeration Date: | 10/25/2006 |
| NPI Last Update Date: | 06/21/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 174400000X |
| License Number: | 215206 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NY |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Specialist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |