| NPI | 1659833051 |
|---|---|
| Other Name | MICHAEL KIM |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CT 12505) |
| Enumeration Date | 2019-04-03 |
| Last Update Date | 2019-06-27 |