| NPI | 1225459472 |
|---|---|
| Other Name | MIKE SUNG SOO KIM |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: CA AC15575) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: CO ACU 490) |
| Enumeration Date | 2013-12-13 |
| Last Update Date | 2019-11-15 |