| NPI | 1326545591 |
|---|---|
| Former Name | GUANG YANG |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: VA 0101279746) |
| Additional Taxonomies | 208600000X Surgery (Licence: VA 0116031905) |
| Enumeration Date | 2018-04-12 |
| Last Update Date | 2023-08-25 |