| NPI | 1225501109 |
|---|---|
| Other Name | ELIJAH SANGKU-DANIEL KIM |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: CA 19455) |
| Enumeration Date | 2019-01-03 |
| Last Update Date | 2024-01-22 |