| NPI | 1336180926 |
|---|---|
| Former Name | KEVIN KIM |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: MD D54562) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MD D54562) |
| 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: CT 054434) | |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2021-03-01 |