| NPI | 1760260376 |
|---|---|
| Other Name | SAMMY KIM |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2023-09-18 |
| Last Update Date | 2024-02-02 |