| NPI | 1194190736 |
|---|---|
| Other Name | JOHNNY KIM |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IA R-11547) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2015-12-08 |
| Last Update Date | 2019-06-20 |