Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 204F00000X | Transplant Surgeon | 25MA07201500 | NJ |
Y | 204F00000X | Transplant Surgeon | DR.0060691 | CO |
NPI | 1447357561 |
---|---|
Provider Name | Dr. James Woo Lim |
First Address | Denver, CO 80291-1244 |
Second Address | Denver, CO 80210-5850 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/09/2006 |
Last Update Date | 13/09/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
8701300 | (05) | NJ |
G37436 | (02) | NJ |