| NPI | 1255621876 |
|---|---|
| Professional Name | ALAN FONG |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: FL ME123616) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2011-04-15 |
| Last Update Date | 2016-09-08 |