| NPI | 1649766809 |
|---|---|
| Professional Name | SANG HYUB KIM |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 213ES0103X Podiatrist Foot & Ankle Surgery (Licence: PA SC006955) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: PA SC006955) |
| 213EP1101X Podiatrist Primary Podiatric Medicine (Licence: PA SC006955) | |
| Enumeration Date | 2018-07-10 |
| Last Update Date | 2018-07-11 |