NPI | 1649434366 |
---|---|
Former Name | JI SUN KIM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25ma08676800) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA md439458) |
207R00000X Internal Medicine (Licence: KY 41956) | |
Enumeration Date | 2008-07-11 |
Last Update Date | 2020-02-06 |