NPI | 1083424022 |
---|---|
Other Name | ISSAC DONHYUN LIM |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 171000000X Military Health Care Provider |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2025-01-11 |
Last Update Date | 2025-04-30 |