NPI | 1104189356 |
---|---|
Former Name | IRIS HA YOUNG KIM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207ND0101X Dermatology MOHS-Micrographic Surgery (Licence: HI 21172) |
Additional Taxonomies | 207N00000X Dermatology (Licence: MI 4301102348) |
Enumeration Date | 2012-06-22 |
Last Update Date | 2024-08-16 |