Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RG0300X | Geriatric Medicine | 036-044030 | IL |
NPI | 1114218088 |
---|---|
Provider Name | Toh-Hoai W. Lim, I |
First Address | Sun Lakes, AZ 85248-0878 |
Second Address | Sun Lakes, AZ 85248-0878 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/04/2011 |
Last Update Date | 27/04/2011 |