NPI | 1508325473 |
---|---|
Other Name | TIM CHANG |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
Additional Taxonomies | 2080C0008X Pediatrics, Child Abuse Pediatrics |
Enumeration Date | 2019-03-19 |
Last Update Date | 2022-09-18 |