Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | 35083049 | OH |
Y | 207VX0201X | Gynecologic Oncologist | 229683 | MA |
NPI | 1407899438 |
---|---|
Provider Name | Robert J. Kim |
First Address | Honolulu, HI 96826-1001 |
Second Address | Honolulu, HI 96813-2434 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/06/2006 |
Last Update Date | 02/09/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
H92944 | (02) | OH |