NPI | 1225047053 |
---|---|
Former Name | JOHN QING YUAN |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: TN 41523) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MS 21696) |
Enumeration Date | 2006-08-08 |
Last Update Date | 2020-06-03 |