| NPI | 1780073759 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HAENA KIM President 866-941-3796 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207YS0123X Otolaryngology, Facial Plastic Surgery (Licence: CA A126331) |
| Enumeration Date | 2015-01-14 |
| Last Update Date | 2015-01-14 |