Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207T00000X | Neurosurgeon | 39725 | CO |
NPI | 1093811028 |
---|---|
Provider Name | Dr. William Choi |
First Address | Dallas, TX 75397-4737 |
Second Address | Greenwood Village, CO 80111-2899 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/09/2006 |
Last Update Date | 17/04/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
16086562 | (05) | CO |
H30303 | (02) | CO |