NPI | 1124463575 |
---|---|
Former Name | JIA WANG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX R3418) |
Additional Taxonomies | 2084A2900X Psychiatry & Neurology, Neurocritical Care (Licence: TX R3418) |
Enumeration Date | 2013-04-29 |
Last Update Date | 2019-11-07 |