| NPI | 1255953774 |
|---|---|
| Former Name | PETER VIET-QUOC NGUYEN |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 172V00000X Community Health Worker |
| Enumeration Date | 2020-05-07 |
| Last Update Date | 2025-10-30 |