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 |