NPI | 1154373157 |
---|---|
Former Name | XIN GARY GONG |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MD D61497) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: CT 056776) |
Enumeration Date | 2006-05-17 |
Last Update Date | 2024-09-05 |