Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0200X | Critical Care Medicine | 60842 | MN |
Y | 207RP1001X | Pulmonary Disease | 46276 | KY |
N | 207RP1001X | Pulmonary Disease | 60842 | MN |
NPI | 1083933675 |
---|---|
Provider Name | Dr. Alex Michael Ng |
First Address | Louisville, KY 40201-0909 |
Second Address | Louisville, KY 40202-5706 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/05/2010 |
Last Update Date | 17/03/2018 |