Individual
DR. DANIEL IKJAE KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D40078
MD
207RX0202X
Medical Oncology Physician
D40078
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
203341100
—
MD
Enumeration date
09/02/2006
Last updated
05/28/2009
Update your record
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