| NPI | 1902289754 |
|---|---|
| Former Name | KA LUNG KONG |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP60577140) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60273550) |
| Enumeration Date | 2015-06-29 |
| Last Update Date | 2015-09-02 |