Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RH0002X | Hospice and Palliative Medicine | 266620 | NY |
Y | 207RH0002X | Hospice and Palliative Medicine | ME148084 | FL |
NPI | 1124317342 |
---|---|
Provider Name | Dr. Clement Choua |
First Address | Atlanta, GA 30384-8054 |
Second Address | South Miami, FL 33143-4679 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/03/2011 |
Last Update Date | 30/01/2022 |