| NPI | 1942715180 |
|---|---|
| Other Name | JAE KEUN KIM |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 204F00000X Transplant Surgery (Licence: OH 35.145723) |
| Additional Taxonomies | 204F00000X Transplant Surgery (Licence: MA 283842) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: MA 273758) | |
| Enumeration Date | 2017-12-11 |
| Last Update Date | 2022-09-29 |