NPI | 1104836352 |
---|---|
Former Name | IN BO SHIM |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NY 179695) |
Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NJ 25MA05388000) |
Enumeration Date | 2006-08-09 |
Last Update Date | 2011-10-23 |