| NPI | 1194134197 |
|---|---|
| Former Name | SUNG HAK KIM |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 43125) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: CA 43125) |
| Enumeration Date | 2014-08-05 |
| Last Update Date | 2016-01-04 |