| NPI | 1235540162 |
|---|---|
| Former Name | DANNY THACH-SONG NGUYEN |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: VA 0101263083) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA MT209857) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2014-05-13 |
| Last Update Date | 2022-06-23 |