NPI | 1215787650 |
---|---|
Former Name | PHU VE HUONG |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA 3572) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2024-03-26 |
Last Update Date | 2024-07-16 |