Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0122X | Plastic and Reconstructive Surgery | 14562 | ND |
NPI | 1255534871 |
---|---|
Provider Name | Dr. Ha Chim |
First Address | Fargo, ND 58103-6029 |
Second Address | Fargo, ND 58103-6029 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/06/2007 |
Last Update Date | 19/10/2017 |