| NPI | 1396762852 |
|---|---|
| Former Name | HYUN BAE KIM |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA PHY 32569) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CA Rph 29376) |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2007-07-08 |