NPI | 1346702693 |
---|---|
Former Name | DONG HYUN SIM |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: IN 01090479A) |
Additional Taxonomies | 208000000X Pediatrics (Licence: IN 01090479A) |
Enumeration Date | 2019-04-04 |
Last Update Date | 2023-10-02 |