| NPI | 1801977038 |
|---|---|
| Former Name | SEOUNG SOO KIM |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 105024) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD60568387) |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2026-05-30 |