| 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 |