| NPI | 1023319746 |
|---|---|
| Other Name | THAI 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 | 2026-01-09 |