NPI | 1023319746 |
---|---|
Other Name | THAI SENG PHOU |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: CA PA21328) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA PA21328) |
Enumeration Date | 2010-11-11 |
Last Update Date | 2018-12-11 |