| NPI | 1043567019 |
|---|---|
| Former Name | VINH HOANG |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 122300000X Dentist (Licence: NC 13435) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NC 22522) |
| 183500000X Pharmacist (Licence: OR 0014285) | |
| Enumeration Date | 2012-08-09 |
| Last Update Date | 2024-03-26 |