| NPI | 1316091531 |
|---|---|
| Former Name | HUANPHONG D. PHAN |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine Interventional Pain Medicine (Licence: CA A83716) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: CA A83716) |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2014-04-23 |