Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0200X | Critical Care Medicine | MD428096 | PA |
NPI | 1083668750 |
---|---|
Provider Name | Eileen H Kim |
First Address | Carol Stream, IL 60122-0001 |
Second Address | Philadelphia, PA 19143-1900 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/05/2006 |
Last Update Date | 08/07/2007 |