| NPI | 1275126328 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EUGENE T KIM Its Manager 919-599-8107 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine Geriatric Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207QH0002X Family Medicine Hospice and Palliative Medicine | |
| 207R00000X Internal Medicine | |
| Enumeration Date | 2021-02-18 |
| Last Update Date | 2021-02-23 |