| NPI | 1104547769 |
|---|---|
| Other Name | VINCENT WANSEUNG KIM |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NV 856178) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NV RN67339) |
| Enumeration Date | 2022-09-12 |
| Last Update Date | 2022-09-12 |