| NPI | 1518491661 |
|---|---|
| Other Name | PHANAN TONG |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 51159) |
| Additional Taxonomies | 1835G0303X Pharmacist, Geriatric (Licence: TX 51159) |
| Enumeration Date | 2017-04-15 |
| Last Update Date | 2018-12-11 |