NPI | 1306806096 |
---|---|
Former Name | TIEN DUC TRAN |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME90850) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A103175) |
Enumeration Date | 2006-03-25 |
Last Update Date | 2017-02-17 |