| NPI | 1114123114 |
|---|---|
| Former Name | HOANG MINH-NGO PHAM |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OK 26781) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: VA 0116018150) |
| Enumeration Date | 2007-06-26 |
| Last Update Date | 2019-01-22 |