Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 125054838 | IL |
N | 2080N0001X | Neonatal-Perinatal Doctor | 44800 | KY |
Y | 2084N0402X | Child Neurologist | 61018 | MN |
N | 2084N0402X | Child Neurologist | MD473712 | PA |
NPI | 1174839542 |
---|---|
Provider Name | Hyoung Won Choi |
First Address | Minneapolis, MN 55454-1450 |
Second Address | Minneapolis, MN 55454-1450 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/08/2010 |
Last Update Date | 07/06/2021 |