NPI | 1952462079 |
---|---|
Professional Name | PHILLIP ALLEN WONG |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: NM A-823-85) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: NM A-823-85) |
Enumeration Date | 2006-12-12 |
Last Update Date | 2007-07-08 |