| NPI | 1033716311 |
|---|---|
| Other Name | JEFFREY PANG |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: VA 0024183514) |
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: DC RN1048464) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: DC RN1048464) | |
| Enumeration Date | 2020-10-08 |
| Last Update Date | 2022-03-17 |