NPI | 1063407302 |
---|---|
Former Name | NAM HUU TRAN |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: CA G81800) |
Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: CA G81800) |
Enumeration Date | 2005-09-13 |
Last Update Date | 2023-07-17 |