| NPI | 1285450148 |
|---|---|
| Other Name | BRIAN PHAN |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0200X Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery (Licence: WA PA.PA.70057660) |
| Enumeration Date | 2024-11-25 |
| Last Update Date | 2025-11-10 |