Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207K00000X | Allergist & Immunologist | D0042449 | MD |
N | 2080P0201X | Pediatric Allergist | D0042449 | MD |
NPI | 1396733473 |
---|---|
Provider Name | Dr. Yung-Hao Howard Pung |
First Address | Rockville, MD 20852-3143 |
Second Address | Rockville, MD 20852-3143 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/10/2005 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
F50929 | (02) |