| NPI | 1235753963 |
|---|---|
| Professional Name | JAY XUAN PHAM |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: VA 0101285098) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: VA 1235753963) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: SC 96989) | |
| Enumeration Date | 2020-05-28 |
| Last Update Date | 2026-07-22 |