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Individual
NYI TUN
Active
Individual
NYI TUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A111700
CA
Other
Enumeration date
05/26/2008
Last updated
01/10/2022
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