| NPI | 1780061671 |
|---|---|
| Former Name | TIANYI WANG |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA 144810) |
| Enumeration Date | 2015-04-30 |
| Last Update Date | 2016-10-20 |