| NPI | 1245419225 |
|---|---|
| Former Name | AI CHI PHAM |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TX m5883) |
| Additional Taxonomies | 2084P0802X Psychiatry & Neurology, Addiction Psychiatry (Licence: TX M5883) |
| Enumeration Date | 2007-10-26 |
| Last Update Date | 2024-09-27 |