| NPI | 1306958368 |
|---|---|
| Other Name | FREDERICK T WANG |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: DE C1-0008270) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: NJ 25MA10038800) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2017-10-31 |