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 |