| NPI | 1093007023 |
|---|---|
| Former Name | BAO GIA NGUYEN |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OK 5256) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: OK 5256) |
| Enumeration Date | 2011-05-10 |
| Last Update Date | 2014-05-19 |