NPI | 1437413242 |
---|---|
Former Name | CHI CHUAN FANG |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: MA 283804) |
Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: PA MT202572) |
Enumeration Date | 2012-06-26 |
Last Update Date | 2021-06-17 |