| NPI | 1669834552 |
|---|---|
| Former Name | ALLEN YICHENG CHUNG |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X (Licence: RI MD19383) |
| Additional Taxonomies | 2085R0001X (Licence: MA 1016636) |
| 2085R0001X (Licence: MN 55362) | |
| Enumeration Date | 2016-03-22 |
| Last Update Date | 2025-07-27 |