| NPI | 1093557555 |
|---|---|
| Other Name | JACK WANG |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: TX BP10089910) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10089910) |
| Enumeration Date | 2024-06-06 |
| Last Update Date | 2025-06-09 |