Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RG0300X | Geriatric Medicine | 0101258369 | VA |
N | 207RH0002X | Hospice and Palliative Medicine | D0085675 | MD |
NPI | 1083927867 |
---|---|
Provider Name | Jihyun Im |
First Address | Newport News, VA 23601-1318 |
Second Address | Newport News, VA 23602 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/07/2010 |
Last Update Date | 15/08/2018 |