Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 204F00000X | Transplant Surgeon | 75.000016 | OH |
NPI | 1811438369 |
---|---|
Provider Name | Prof. Choon Hyuck David Kwon |
First Address | Cleveland, OH 44195-0001 |
Second Address | Cleveland, OH 44195 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/03/2017 |
Last Update Date | 16/11/2018 |