| NPI | 1053744912 | 
|---|---|
| Former Name | ZHAOYU WANG | 
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207N00000X Dermatology (Licence: CA A156280) | 
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 57.022590) | 
| 207N00000X Dermatology (Licence: MN 58486) | |
| Enumeration Date | 2013-08-14 | 
| Last Update Date | 2019-06-10 |