| NPI | 1689608051 |
|---|---|
| Former Name | MYONG KWAN KIM |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX M5794) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NC 200000851) |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2018-02-27 |