NPI | 1669834750 |
---|---|
Former Name | HEE JIN KIM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: NY 290154-01) |
Additional Taxonomies | 207N00000X Dermatology (Licence: NJ 25MA11439600) |
Enumeration Date | 2016-03-28 |
Last Update Date | 2024-08-07 |