Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207K00000X | Allergist & Immunologist | 336.079897 | IL |
NPI | 1093917304 |
---|---|
Provider Name | Seong Ho Cho |
First Address | Tampa, FL 33613 |
Second Address | Tampa, FL 33613 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 31/05/2007 |
Last Update Date | 13/11/2015 |