| NPI | 1689932089 |
|---|---|
| Other Name | CHARLIE KIAK WANG |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: HI MDR 6684) |
| Enumeration Date | 2012-04-24 |
| Last Update Date | 2022-01-10 |