| NPI | 1265623532 |
|---|---|
| Former Name | SEUNG TAE KIM |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CA DC29934) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: CA DC 29934) |
| 171100000X Acupuncturist (Licence: CA AC11610) | |
| Enumeration Date | 2007-08-05 |
| Last Update Date | 2014-10-27 |