NPI | 1265753107 |
---|---|
Former Name | MIMI LEE CHANG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: TX P4251) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10036729) |
207R00000X Internal Medicine (Licence: TX P4251) | |
Enumeration Date | 2010-06-15 |
Last Update Date | 2023-12-12 |