NPI | 1093152563 |
---|---|
Former Name | SARAH JIHONG KIM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: MA 265322) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MA 255996) |
Enumeration Date | 2013-05-24 |
Last Update Date | 2019-08-26 |