| NPI | 1104211705 |
|---|---|
| Former Name | RONG RONG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AZ 57149) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NV 16056) |
| 207R00000X Internal Medicine (Licence: IL 036-132750) | |
| Enumeration Date | 2015-03-31 |
| Last Update Date | 2020-07-13 |