| NPI | 1023126828 |
|---|---|
| Former Legal Business Name | HYUNGBAE KIM MD |
| Entity Type | Organization |
| Authorized Contact | HYUNG-BAE KIM Md 570-823-1169 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: PA MD019119E) |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2020-08-22 |