| NPI | 1811439839 |
|---|---|
| Former Name | QIANG DONG |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 310595) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 687654) |
| Enumeration Date | 2016-11-08 |
| Last Update Date | 2024-05-30 |