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 |