Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0214X | Pediatric Pulmonologist | MD036417 | DC |
NPI | 1497953939 |
---|---|
Provider Name | Dr. Robert Phillip Yim |
First Address | Bel Air, MD 21014-4198 |
Second Address | Bel Air, MD 21014-4198 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/07/2007 |
Last Update Date | 15/07/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
413069301 | (05) | MD |