| NPI | 1356536320 |
|---|---|
| Other Name | ALEX VONG |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NV 13730) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CA 50545) |
| Enumeration Date | 2007-09-12 |
| Last Update Date | 2007-09-12 |