Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207L00000X | Anesthesiologist | 533402 | TX |
NPI | 1003076761 |
---|---|
Provider Name | Hyung J Kim |
First Address | Dickinson, TX 77539-6182 |
Second Address | Houston, TX 77008-1532 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/06/2008 |
Last Update Date | 18/05/2012 |