Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 204F00000X | Transplant Surgeon | 52011127 | OH |
NPI | 1750584694 |
---|---|
Provider Name | Dong-Sik Kim |
First Address | Cincinnati, OH 45267-2827 |
Second Address | Cincinnati, OH 45206-1785 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/06/2007 |
Last Update Date | 18/04/2008 |