NPI | 1992038525 |
---|---|
Other Name | ROBERT SONG |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: VA 0110003128) |
Additional Taxonomies | 146D00000X Personal Emergency Response Attendant (Licence: VA 0110003128) |
Enumeration Date | 2009-09-15 |
Last Update Date | 2016-12-29 |