NPI | 1891132718 |
---|---|
Former Name | CONNIE KANG WANG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: PA MD473483) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: MD D85416) |
207L00000X Anesthesiology (Licence: MN 65347) | |
207R00000X Internal Medicine (Licence: MD P28833) | |
Enumeration Date | 2013-06-01 |
Last Update Date | 2021-08-02 |