Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207P00000X | Emergency Physician | 191292 | NY |
N | 208200000X | Surgeon | 191292 | NY |
N | 208600000X | Surgeon | 191292 | NY |
Y | 2086S0102X | Surgical Critical Care | MD051898L | PA |
NPI | 1053469544 |
---|---|
Provider Name | Dr. David Choohyun Paik |
First Address | Philadelphia, PA 19106-4404 |
Second Address | Philadelphia, PA 19107-5563 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/01/2007 |
Last Update Date | 04/03/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01765484 | (05) | NY |
0251151 | (05) | NJ |
G55135 | (02) | NY |