| NPI | 1023179587 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAM Y KIM President 907-456-7768 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: AK 83561) |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2022-12-01 |