NPI | 1669444279 |
---|---|
Former Name | KEUCKEE CHANG |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: OH 35041642) |
Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: VA 0101238001) |
207RN0300X Internal Medicine, Nephrology (Licence: CA C52033) | |
Enumeration Date | 2006-02-07 |
Last Update Date | 2007-07-08 |