Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RG0100X | Gastroenterologist | 0101055262 | VA |
NPI | 1023057445 |
---|---|
Provider Name | Myung W Choi |
First Address | Manassas, VA 20110-4404 |
Second Address | Manassas, VA 20110-4404 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/06/2006 |
Last Update Date | 23/02/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
010242860 | (05) | VA |
H36689 | (02) |