| NPI | 1255820056 |
|---|---|
| Former Name | DONG HYUN KIM |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: VA 0101282164) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CO DR.0067011) |
| 208D00000X General Practice (Licence: WV 30084) | |
| Enumeration Date | 2018-05-07 |
| Last Update Date | 2024-12-09 |