Individual
ROGER HOON KIM
Active
Individual
ROGER HOON KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
036-144271
IL
2086X0206X
Surgical Oncology Physician
0101241581
VA
2086X0206X
Surgical Oncology Physician
Primary
036-144271
IL
2086X0206X
Surgical Oncology Physician
MD.203302
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036-144271
STATE LICENSE
IL
Enumeration date
07/13/2007
Last updated
11/01/2023
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