NPI | 1083258610 |
---|---|
Other Name | JOHN KIM |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical |
Additional Taxonomies | 106S00000X Behavior Technician |
Enumeration Date | 2019-11-06 |
Last Update Date | 2024-06-26 |