NPI | 1992265045 |
---|---|
Other Name | ALEX CHEN |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: WA MD.61156082) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2019-03-24 |
Last Update Date | 2022-06-19 |